My ALP is extremely high. My recent bloodwork (2 days ago) was at 412, which is the highest it's ever been! The lowest was 270 in May 2025. I'm taking Urosidiol 300mg 3x daily and Seladelpar (aka Livdelzi) 10mg. Livdelzi has helped keep my levels stable, but what has really made the difference is diet. I fell off my liver-friendly diet, and I can see the drastic change reflected in my recent high reading. I'm now doing a juicing fast (with greens, veggies, and fruits) to stabilize and lower the ALP. The AST is slightly elevated, and ALT is normal. The issue for me is the cirrhosis and inflammation. Keeping a food diary really helps to pinpoint the highs and the lows of test readings. Hope this is helpful to someone! Do your research, know your body, stay positive, and give yourself grace....🙏🏽

Thank you. I had to stop the iqirvo, was having heart palpations which made me very nervous. Also very light headed. Waiting to hear from my de. Hope she will have me try livelihoods. Good luck and stay well

The highest mine went was 870. I am taking Urso. And it slowly came down.
So the added Iqirvo. I'm down to 69. And i feel great. But did loose more
hair.

Anyone on Iqirvo have heart palpatations

I am on urso and my alk phos runs around 200.