Q. My muscle enzymes are at 355, my DR says normal is 200. She refered me to a Neurologist. What could be wrong? I am experiencing sore legs when I walk, weakness, and sometimes difficulty in swallowing. I am 46 I had a minor heart attack 5 yrs ago with a stent placed in my LAD. I am on Crestor 10mg. my Dr. has adjusted the dosage several times and used other drugs but it doesn't change the results much if at all. A. Crestor itself may cause elevated muscle enzymes (you probably refer to Creatine Kinase, http:///wiki/Creatine_kinase). However, weakness and swallowing problems may raise the suspicion of a disease of the nerves or muscles.
Alkaline phosphatase is another liver enzyme that is frequently measured. This enzyme is usually found in the walls of the bile ducts (tube-like structures within the liver that connect liver cells together). Elevation of alkaline phosphatase may indicate an injury to the biliary cells. Common causes of biliary injury or biliary obstruction (cholestasis) are gallstones and certain medications, although, some of the conditions listed previously can also raise the levels of this enzyme. Alkaline phosphate is also found in the bone and can be elevated in bone diseases. GGT and 5' nucleotidase levels can be elevated in biliary conditions (disease of the gallbladder and bile ducts) along with alkaline phosphatase.