I am currently taking 8 fish oil per day and 2 glucosamine with chondroit, are you on any of these? My side effects from Femara were extreme, but I had a 70% improvement within a couple of weeks of taking these supplements.
Dr Google says that either/both could cause high ALP levels, as well as the fatty food.
I know it wasn't fatty food as my diet is very strict with mainly salad and vegies. The night prior to test I had zucchini pasta- no fats, with a side salad.
My Onco isn't into supplements at all, so I hope he doesn't get gruff with me for taking these. Another Onco I saw said I could take these If I wanted, but didn't talk dosage, and my blood levels were fine then.
You are a big help on this site and offer grounded advice and experience.
Viv xxxx