<s>[INST] My alkaline phosphate level is 208. I ve had a liver biopsy.nothing showed up besides minimal liver damage. My levels are continuing to rise.my doctor says we ll monitor your levels recheck in 3 months.my question is should I be concerned about something? Do I need a second opinion? [/INST] Hi. The normal range of ALP goes till 150 so until now I don't see a significant rising. The second thing I'd like to mention is that ALP only (without other functional liver tests like: transaminase ALT and AST, GGT) is not such a faithful liver test, because it can be increased in other system diseases like bones i.e. So after three months (I totally agree with my colleague for the next time examination) you should perform a broader biochemical examination for your liver. </s>