Ast (sgot) 33 ALT (sgpt) 39 high. What could be wrong why is the ALT high? Is this bad?

Nearly Normal. To give you a good and valid answer i would need more information. But, in general these are relatively normal and common results and i would not raise a red flag yet. I would ask my patient if there any toxic things they are ingesting such as too much tylenol, (acetaminophen) iron or alcohol. But this is nothing to lose sleep over yet.