Bilirubin, direct — lab reference
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THE PURSER WELLNESS LIBRARY
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Inflammation, hydration, liver synthesis, renal loss, and nutrition affect result.
Review albumin, globulin, and electrophoresis when indicated.
Often calculated. Consider SPEP/IFE for unexplained abnormalities.
Calculated; interpret component values.
Negative acute-phase reactant; not a stand-alone nutrition marker.
Broad tissue marker; hemolysis can cause false elevation.
Exercise, muscle mass, sex, race, trauma, injections, and statins affect values.
Not pancreas-specific; interpret with lipase and clinical presentation.
Assay-specific; diagnostic thresholds for pancreatitis are separate.
Normal <100; prediabetes 100-125; diabetes ≥126 on confirmatory testing unless unequivocal hyperglycemia.
Diabetes may be diagnosed at ≥200 with classic symptoms or hyperglycemic crisis.
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