My gp tells me that the normal range for alkaline phosphotase level is between 33 and 99 -- or thereabouts. I was been diagnosed with paget's disease of bone about 5 1/2 years ago. My past two readings for ap have been 177. My endocrinologist told me five years ago that no treatment is necessary until the disease becomes symptomatic. To date, I have not suffered any effects -- no pain -- but I wonder if a consistent reading of 177 deserves attention of some kind before the disease becomes symptomatic. Is my doctor correct to let sleeping dogs lie or should I advocate for some proactive treatment?

I would appreciate any advice.

Thanks,
peter