###Human: My ALP increased to 278 after stopping Udimarin Forte. Should I be worried? ###Assistant: Hello. There is nothing to worry. Possibly, he has mild fatty liver because of which SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamate-pyruvate transaminase) are mildly elevated. However, the ALP (alkaline phosphatase) is elevated in either obstruction of the bile duct or due to bone disease like vitamin D deficiency which he has.  I would still suggest an ultrasonogram of the abdomen to look for fatty liver and CBD (common bile duct) anatomy. For more information consult an internal medicine physician online -->