How to prepare
Your healthcare provider may ask you to fast for 8 to 12 hours before the blood draw. Avoid alcohol for at least 24 hours before testing. Let the collection staff know about any medications or supplements you are taking, as some can affect bilirubin levels.
After the test
Discuss your results with your GP or specialist. If direct bilirubin is elevated, imaging (such as an abdominal ultrasound) is often the next step to check for bile duct obstruction. Your doctor may also request additional liver function tests or refer you to a gastroenterologist or hepatologist depending on the findings.
Your test results will be available in your private dashboard. If there are any urgent issues, we'll let you know so you can follow up with your health professional.
Understanding results
Your result shows direct bilirubin concentration compared to the laboratory reference range. Raised direct bilirubin, particularly when it makes up a large proportion of total bilirubin, suggests a problem with bile excretion or liver cell function. Common causes include gallstones, biliary strictures, viral hepatitis, and primary biliary cholangitis. Your practitioner will interpret this result alongside other liver function markers for a complete picture.