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Gilbert's syndrom?

52 year old male in good health. High BP controlled with Losartan/HCTZ. 30 LBS overweight. Some fatigue issues.

Blood work on 03/09/16 indicated Total Bilirubin at 2.3 (normal range .2-1.2) Other liver enzymes normal.

Blood work on 3/23/16 indicated Total Bilirubin at 2.6, Direct bilirubin .3. (Normal range <or =.2).

My direct Bilirubin is just outside the normal range, (some labs say normal is <or =.3) Direct bilirubin is only 12% of the bilirubin total. Does this fit Gilberts syndrome? Do people with Gilberts have a slightly elevated direct bilirubin or would only the indirect and total bilirubin be too high?

In the past I have experienced some of the classic Gilberts symptoms like jaundice when fasting. My only other bloodwork from about 20 years ago indicated mildly elevated total bilirubin.
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Avatar universal
Yes, your Direct to Total Bilirubin follows what is expected with a GS patient. But there are other causes for a low ratio like this. Only your doctor will be able to help you diagnose this. Hope you get answers soon.
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1 Comments
It could be. I have Gilberts and my bilirubin is elevated - has been for years. Ive had it for about 15 years. About 2 years ago I started taking a couple liver-friendly supplements and the fatigue has diminished, as well as the yellowing in my eyes. Basically they help to eliminate the bilirubin from the blood system. hope this helps.
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