What causes high bilirubin levels?
Patient: I have high level of total BILIRRUBIN TOTAL-2.8* BILIRRUBINA DIRECTA      0.3* BILIRRUBINA INDIRECTA 2.5* and GLOBULINA 3.61* else evrything is in range sgot /sgpt . SGOT     26.7      SGPT 30.1     U/L      FOSFATASA ALCALINA     238      PROTEINAS TOTALES     7.68      ALBUMINA     4.07      GLOBULINA     3.61*      RELACION A/G     1.12 Doctor: Hi there,Thanks for using HCM.I went through your post.Your bilirubin is only mildly increased. The indirect component is more than the direct component. The liver enzymes are within normal limits. The A/G ratio is normal.There are only two possibilities. The increased bilirubin could be due to either Gilbert syndrome or hemolysis.You can get reticulocyte count done to know which one of these two is the cause.Regards.