Obviously, there is much more to your story than this small description; so my abilities to answer your question is limited. The Alk Phos (Alkaline Phosphatase) is very non-specific labatory marker.. meaning that sometimes no one knows specifically why it is abnormal or what abnormal really is. Upperwards of 30% of those with an elevated Alk Phos will have no clear reason (diagnosis) explaining this lab finding, despite extensive work-up. So, the Alk Phos is nothing to hang a hat on (make a diagnosis with) but can be worthwhile monitoring for someone with known liver or bone disease (that is where alk phos comes from).There may not be a reason for your elevated Alk Phos.

The DHEA supplementation is interesting and I assume your use of it is because it may benefit those with Lupus. However, DHEA is a powerful hormone and does have side effects because it essentially increases the testosterone and estrogen levels. Hot flashes, acne, and facial hair are some of the known side effects.

So, your final question about whether or not there could be another diagnosis... sure, anything is possible. But, sometimes a diagnosis is elusive in the early stages (or at any stage). Until the monster raises its head fully, you will have to live with a bit uncertainty.

Keep working with your doctors because you appear to be in good hands.

Dr. Christina Lasich, MD

Leeanna

7/14/10 8:29am

Thank you for your response. I have been bounced around the medical community over the Alk Phos for over 6 months. My G.P. told me about the Alk Phos and said I could have a tumor.

The second Doctor told me before any of my tests were back that I had a 98% chance of having Primary Bilary Cirosis. He said I had all the symptoms. I didn't think I had any symptoms. I felt fine except I do have fibromyalgia and that was diagnosis 6 years ago.

The last took more tests and told me about the Lupus, etc. and yes the DHEA is for that. I was told there were no side effects. I was on Evista and it seemed to send me right back into menopause. Hot flashes mood swings etc. Now I am on Actonel.

 

Thank you Dr. Lasich for listening to me.

 

Christina Lasich, MD, Health Pro

7/14/10 11:07am

You are welcome. Sometimes lab test results become imaginary tails that we end up chasing.

 

The next quetions you will have to ask yourself and your doctors: Is DHEA worth the side effects? Some men do not understand that menopause-like symptoms can be miserable. A woman's hormonal system is delicate and not to be taken lightly.

 

Take care,

 

Dr. Christina Lasich, MD