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Doctor insights on: What Does Low Total Bilirubin Mean

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What does low total bilirubin mean?

What does low total bilirubin mean?

Low is OK: In general we all worry about elevated bilirubin. Low bilirubin does not suggest any particular illness, it can be cause by certain medications and vitamin c. ...Read more

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Dr. Warren Strudwick
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Dr. Walter Husar
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Total Bilirubin (Definition)

Bilirubin, a product of hemoglobin breakdown, is present in two forms in the human body: unconjugated (indirect bilirubin, insoluble) and conjugated (direct bilirubin, soluble). Unconjugated bilirubin is conjugated in the liver and released into the small intestine in bile, the fluid in the gallbladder. Total bilirubin measures indirect bilirubin plus direct bilirubin; part of ...Read more


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What does a low bilirubin total level mean?

What does a low bilirubin total level mean?

Never a problem: Labs "normal ranges" are set up so that a few percent of people fall below and above the reference range. As a pathologist who's devoted a lifetime to the lab, i can't emphasize too often that patients and doctors must both "look at the person, not the numbers.". ...Read more

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Dr. Warren Strudwick
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24 years in practice
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Dr called said blood tests were normal Rcvd lab results MCH is low & total Bilirubin @1.9. All other results are in normal range. What does this mean?

Dr called said blood tests were normal Rcvd lab results MCH is low & total Bilirubin @1.9. All other results are in normal range. What does this mean?

Maybe Gilbert's?: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. It does not shorten life or raise insurance rates, but may predispose to tylenol toxicity. ...Read more

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What does total bilirubin mean? What amount should you have as an adult?

What does total bilirubin mean?  What amount should you have as an adult?

Depends: Includes direct and indirect billirubin (different stages) and a normal level is somewhere around 1, but labs differ. ...Read more

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Dr. Warren Strudwick
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24 years in practice
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Total bilirubin 0.4 direct <0.1L indirect 0.3 what does that mean?

Normal values: Bilirubin is the breakdown of red blood cells. There are 2 components - direct and indirect. When elevated, more direct suggests a blockage of the bike ducts from the liver but your levels are OK. ...Read more

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My total bilirubin is 1.5 and the direct bilirubin is 0.3 what does it mean?

In most labs: A total bili of 1.5 is upper normal or very slightly elevated. In and of itself not a big deal. ...Read more

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What does it mean if my total bilirubin and albumin levels are above normal?

Need more data: What are the actual levels? What are the results of other tests? Lab test results need to be interpreted in the total clinical context of history, physical findings and results of laboratory and imaging studies. ...Read more

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What does this mean? "serum total bilirubin level" 28 umol/ l ( 1-21).

Hyperbilirubinemia: Borderline rise in bilirubin mostly caused by gilbert syndrome when you have congenital weakness of a liver enzyme which destroy the bilirubin.It rises after fasting and increased physical stress and sleeplessness. This condition is not worrisome and no medications needed. ...Read more

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Bilirubin (Definition)

Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more


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Dr. Warren Strudwick
Board Certified, Sports Medicine
24 years in practice
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