u/vetstudent26

For context, I am a 28yo F with an ideal BCS and otherwise WNL labs (aside from concurrently chronically low platelets). My ALP has been low dating back to 2017 (the earliest record I have access to, may have been historically low even prior to 2017). Should I be worried about the chronicity of this?

6/17: 35
8/17: 37
9/17: 43 (interestingly, this is when I was emaciated and hospitalized from anorexia)
7/19: 32
6/23: 31
12/23: 37
12/24: 36
4/26: 38
6/26: 32

I have no obvious clinical signs that anything is amiss other than chronic bilateral wrist tendinitis that has not healed even 1 year post-injury and other occasional aches. No fractures or dental issues. No GI issues. I take a daily multivitamin that contains 43% daily zinc. No idea on daily magnesium intake. TSH has always been WNL. No one else in my family has low ALP. No current medications.