Clinicians order this test to explore jaundice, dark urine, pale stools, or abnormal liver results. It helps tell if bile flow is slowed and guides decisions about follow-up tests or imaging. It can also monitor known liver or gallbladder conditions, or medicines that may affect bile. You can test this marker with Aniva across Germany and Finland.

Clinicians order this test to explore jaundice, dark urine, pale stools, or abnormal liver results. It helps tell if bile flow is slowed and guides decisions about follow-up tests or imaging. It can also monitor known liver or gallbladder conditions, or medicines that may affect bile. You can test this marker with Aniva across Germany and Finland.

High: May suggest slowed bile flow (cholestasis) or reduced excretion from liver stress or certain medicines; urine may be dark. It often rises alongside ALP and GGT, and your clinician may check total bilirubin, enzymes, or imaging.
Low: Usually not concerning and often reflects normal levels. Trends with total bilirubin, liver enzymes, and symptoms matter most. Consider avoiding alcohol the day before and review medicines with your clinician.

• Total Bilirubin
• ALT
• AST
• ALP
• GGT
• Albumin
• Prothrombin Time (INR)

Common factors that can skew results include recent alcohol use, certain medicines (such as some antibiotics, anabolic steroids, or hormonal contraceptives), dehydration, long fasting, strenuous exercise, pregnancy, or acute illness. Sample handling issues like hemolysis or prolonged light exposure can also affect bilirubin measurements. Keeping tests at a similar time of day helps when tracking trends.

Special situations (when to confirm or adjust): newborn testing, late pregnancy, recent surgery, or suspected bile duct blockage—consider repeat testing, liver enzymes, or imaging as advised.