So, I recently decided to go through the military enlistment process, which meant undergoing a full medical screening at the Cleveland Clinic... part of that included a complete blood panel. Everything looked perfectly fine, except for my bilirubin levels, which were sitting at a high 98. I should probably mention that right before the blood draw, even though I’d traveled to NYC the day before 124 miles, I had barely slept or eaten anything all day, let alone stayed hydrated. I showed up to the lab hungry and absolutely exhausted, which might be relevant because when the doctors reviewed the results, they suggested I likely have Gilbert's syndrome... especially since every other marker—AST, ALT, GGT—was right at the bottom of the normal range. They explained that if you have Gilbert's, being sleep-deprived and fasting will send your bilirubin skyrocketing. Anyway, they asked me to come back and repeat the tests within 20 days.
I went back and did everything again, and this time the bilirubin was 64, while everything else remained totally normal.
Then, just recently, I had some follow-up blood work done to check things over, and the bilirubin came back at 48... here are the links to my full blood and urine panels.
View on imgurView on imgurView on imgurI'm an athlete, 30 years old, about 5'9" and 165 lbs, and honestly, I haven't stepped foot in a doctor's office since I was a kid, so seeing that bilirubin number really caught me off guard. My doctor says there's no reason to worry because my liver enzymes are excellent, but no one has ever officially told me, "Yes, you definitely have Gilbert's," nor have they sent me for any specialized testing. Should I be scheduling an ultrasound of my liver or looking into more extensive diagnostics? I also can't help but remember a conversation from maybe ten years ago, where my friends were teasing me about how yellow the whites of my eyes looked... I never thought much of it back then, but now I realize it was likely the bilirubin. Thanks for any insight...