This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Medicine
[{'content': 'Alkaline phosphatase is elevated in all, except - \nSelect and explain. \nA. Rickets, B. Osteomalacia, C. Hypoparathyroidism, D. Hypophosphatemia', 'role': 'user'}, {'content': 'Answer: D \nExplanation: there us excessive phosphate depletion causing decreased alkaline phosphatase ( Harrison 17 pg 2370)', 'role': 'assistant'}]