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What is the significance of a high phosphate level reading from a blood test?

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Healthy kidneys normally have little trouble pulling excess phosphate out of your blood for disposal, so elevated blood phosphate could indicate kidney issues.

Best not to sweat an isolated finding like this, provided the number wasn't alarmingly high. You may have been a bit dehydrated (kidneys need fluid throughput to move waste), or had a high phosphate meal (meat, fish poultry, dairy) that may have taken a bit of time to clear.

Whenever you see a lab out of range, a retest, typically done at 1 to 3 months is usually indicated. When labs are off over a series of tests, or trending in the wrong direction, then this is something that would need further attention.

PPI meds (acid blockers) have been associated with kidney damage, so if it turns out your kidneys are in trouble and you've been on PPI meds, this might be something to look into.

Hope you get good news with your second look labs.

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Thank you for that explanation. Now I understand better. I have been trying to get a book to use to help answer questions - but it seems unavailable at present

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