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Lab test

Indirect Bilirubin

Indirect (unconjugated) bilirubin is bilirubin that has not yet been processed by the liver.

Normal range (adults)
Up to 1 mg/dL (up to 17.1 µmol/L)
Sample
Blood
Fasting
Not usually needed
Also called
Unconjugated Bilirubin, I.Bilirubin, Indirect Bili, IBIL, Bilirubin Indirect

Indirect Bilirubin normal range

Group mg/dLConventional units: US, South Asia µmol/LSI units: UK, Europe, Australia, international
AdultsUp to 1Up to 17.1

Your report may use either unit system; labs in the Gulf often print both. Ranges also vary slightly between laboratories, so the range printed on your own report is the one to go by.

Why is the Indirect Bilirubin test done?

It helps identify Gilbert's syndrome and red-cell breakdown.

What does a high Indirect Bilirubin level mean?

High indirect bilirubin usually means Gilbert's syndrome or faster breakdown of red blood cells.

Common causes

  • Gilbert's syndrome
  • Hemolytic anemia
  • G6PD deficiency (after certain foods or medicines)
  • Newborn jaundice

Diet and lifestyle tips

  • Avoid long fasting if you have Gilbert's syndrome
  • Stay hydrated
  • If you have G6PD deficiency, avoid fava beans and medicines your doctor lists

When should you see a doctor?

If other liver tests and blood counts are normal, Gilbert's syndrome is the usual explanation; confirm with your doctor.

Last updated

This page is for general education and is not a diagnosis. Normal ranges differ between laboratories, so always compare your result with the reference range printed on your own report, and discuss abnormal results with your doctor.