<prompt> Which is not seen in multiple myeloma :AnemiaIncreased alkaline phosphataseHypercalcemiaIncreased ESR  <response>: Answer is B Increased in alkaline phosphatase Serum alkaline phosphatase is usually normal even with extensive bone involvement because of the absence of aslethractfr fictivity - Harrison 16th 659 Laboratory parameters in multiple myeloma : Anaemia: Normocytic normochromic ESR : markedly increased Hypogammaglobulinemiae Monoclonal spike on Serum protein electrophoresis - Monoclonal Gammopathy M Band Bone marrow replacement of normal marrow elements by plasma cells. Bence Jones Proteinuria: Light chain proteinuria inclomplete IgG Uric Acid level : Elevated due to increased cell turnover Serum calcium : Elevated Alkaline phosphatase : Normal Neutropenia Thrombocytopenia rare 