My ALP levels have been gradually creeping up since I started Tamoxifen 4 years ago.It started out at 88,then 110 and this year it's 128.That was around June and my gp was worried enough to send me for an abdo ultrasound.This showed I had a fatty liver.This freaked me out cos my poor mum had just died from liver cancer the month before.Tamoxifen can cause fatty liver so I stopped it.I had been on it for 4 yrs.Anyway,I go for a repeat blood test next week - hopefully it will have lowered.I think your oncologist should have informed you when your ALP was first elevated.We will compare ALP situation next week.xx