I'm worried: The direct bilirubin is up too high just to be explained by fatty liver. If you are taking any medications -- even "holistic herbal remedies" -- talk with your physician. If you are offered a biopsy or further imaging, accept it.
Answered 10/4/2016
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Alkaline phosphatase: If your alk phos is elevated with the tbil being primarily direct conjugated bil, then you may have a blockage. You should have a full set of liver function tests followed by an ultrasound and possibly ct scan followed by ERCP if a blockage is suspected. See your gastroenterologist for full evaluation.
Answered 6/10/2014
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