Brief Answer: Raised enzyme level is due to Vitamin D Deficiency Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms XXXXXXX First and foremost after looking at the reports I would like to reassure you that there is no much cause for concern. Being a Parent myself and a Pediatric Surgeon, I understand your concern and apprehensions. Majority of the test are normal 1. Raised Alkaline Phosphatase Level: 2. Low Vitamin D level The above two things are likely to be due to 1. Around the age of 10 to 14 years there is growth spurt: This growth spurt along with relative Vitamin deficiency causes elevation Of Alkaline Phosphatase. Alkaline Phosphatase enzyme is a marker of actively growing Oesteoblast( Growing bone cells), elevation indicates actively growing bone cells. 2. Vitamin D deficiency usually occurs at the time of bone growth spurt and less exposure to sunlight. There is no cause for concern. Dietary and Nutritional supplement with Vitamin D will be helpful. Taking Syrup Calcimax( Containing Calcium and Vitamin D ) will be helpful. Do get back to me if you need any further assistance, will be glad to assist you. Take Care Best Regards Dr Deepak Kishore MBBS,MS,MCH Consultant Pediatric Surgeon

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Brief Answer: Either Syrup or tablet can be used Detailed Answer: Hi Dear Ms XXXXXXX You can either use Syrup or tablet. 1. TABLET SHELCAL D 250 once a day will be helpful or Syrup Calcimax 5 ml twice a day. 2. Seven seas cod liver oil capsule taken once a day will also be helpful. 3. Daily exercise at Sunrise : it will expose your child to sunlight. Early morning exposure to sunlight helps in synthesis of Vitamin D in the skin. Exercise will also promote well being. Dear Madam, do not hesitate to write to me directly if you need any advise or assistance. Wishing you and your family a very happy and healthy life. Take care Best Regards Deepak

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