I am having an abdominal ultrasound next week, but thoughts? alp high at 125 (29-122); alt high at 132 (10-46); ast high at 61 (16-37)

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, your ALP is near normal, elevated ALT and AST suggest liver cell injury but there are too many causes to provide a meaningful opinion without examining you.