Mildly elevated ALP can be seen in infectious mononucleosis, bile duct obstruction, hepatitis, heavy alcohol consumption, and fatty
liver. In fatty
liver there is fat in the liver, along with inflammation and damage. Fatty liver due to alcoholism is called Alcoholic fatty liver disease and the other one is Nonalcoholic fatty liver disease, which is due to obesity, diabetes and high triglyceride levels. Only if fatty liver disease advances a person can develop cirrhosis .