<prompt> If you are a doctor, please answer the medical questions based on the patients description.Just got bloodwork results. My ALP was 132 ALT was 52 and AST was 52. Should I be concerned. I take Topamax for migraines could this be causing this? Ive also had 7 rounds of anti54biotics over the past 7 mos. and was on a anitibiotic during the test. Im 54 120lbs.  <response>: Hithanks for posting in ChatDoctorI have understood your concern1.the numbers you have mentioned are slightly elevated above normal range 2.for significant rise it should be more than 3 times of normal, in your case it is not there.3.slight rise in your case mostly secondary to antibiotics, because so many antibiotics cause liver injury. I can suggest you to get done1.USG abdomen to rule out any morphology changes of liver. Hope this helps you any further questions please let me know thanks 