Unfortunately there are no doctors within these communities. But we patients discuss things based on our experiences built on knowledge gained through our liver disease battles.
Ideally you should fast about 4 hours before your blood test. But I have blood work done every week and I haven't seen any large sensitivity based on whether I'd eatten or not. Your direct Bilirubin is slightly elevated, both from an absolute level and from the direct-to-total ratio standpoints. You should discuss this with your doctor and maybe have a quick ultrasound done just to take a look for anything unusual.
Your direct Bilirubin levels will not rise unless there is an impedence of some kind. Yours is very mild and maybe simply due to mild GI infection. Especially given that your other liver enzymes are normal. But your doctor may wish to take a peek with the US.
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