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Electrolytes and minerals

Phosphorus

General reference: 0.81–1.45 mmol/L

What it shows

Phosphorus measures inorganic phosphate in serum, the mineral partner of calcium in bone and a component of ATP, cell membranes and nucleic acids. Its level is set by dietary intake, gut absorption, and renal excretion under the control of parathyroid hormone and vitamin D. It speaks mainly for kidney function and bone-mineral metabolism.

No readings for this marker yet.

High and low values

Raised phosphorus most often reflects reduced kidney clearance, and also underactive parathyroid tissue, excess vitamin D, or large-scale cell breakdown that releases intracellular stores. Lowered values most often follow overactive parathyroid tissue, vitamin D deficiency, malabsorption, chronic alcohol use, refeeding after starvation, or phosphate-binding antacids. These point to areas worth investigating rather than to a diagnosis, and a doctor decides what to check next.

What affects the result

Phosphorus falls after meals and after carbohydrate or insulin-driven shifts into cells, and it shows a mild daily rhythm, so a fasting morning sample is preferred. Haemolysis falsely raises it. It is read together with calcium, magnesium, alkaline phosphatase, vitamin D, parathyroid hormone and kidney function, not with the sodium-potassium-chloride group that shares its panel.

Reference ranges are general adult values and depend on lab, assay, age and sex. For orientation, not diagnosis — discuss results with your doctor.