Liver Disease - Testing  Treatment

When and How to Use the Direct Bilirubin


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In this episode, Dr. Robert Gish explores liver function tests (bilirubin, albumin and INR), with a focus on total and more importantly on direct bilirubin. He explains how these tests help doctors assess liver health and clarifies the difference between liver function tests and liver enzyme tests.

Many providers and patients are very confused when we use the term "liver function test" in our conversations. It is important to differentiate liver enzymes from function specifically in our dialogue with providers and patients to provide reassurance about liver health status. Bilirubin is the best liver function test, and direct bilirubin is the most useful inside measuring a total bilirubin. Albumin and INR are also helpful function tests. AST, ALT alkaline phosphate and GGT are not liver function tests. These are liver enzymes, and we should only use that term.

Dr. Gish also discusses Gilbert Syndrome, a common condition that can affect bilirubin levels. Tune in for expert insights on how to interpret direct bilirubin lab results and gain a better understanding of what your liver function tests can reveal. Whether you're a patient looking to make sense of your results or a healthcare professional seeking clarity, this episode offers valuable information.

Be sure to send any questions to Dr. Gish via email [email protected] or via his website www.robertgish.com. Thank you for listening!

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Liver Disease - Testing  TreatmentBy Robert G Gish MD