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I am a 5?11, 175 LB (+/- 40 LB in adult life), caucasian 24 year old male who has had persistent unconjugated hyperbilirubinemia that I have been aware of for the past six years, however, throughout my entire life I have been prone to excessive itchiness. I was 18, and in the military at the time when after I returned from a brief period of leave (vacation, I was drinking at the time) someone pointed out that I appeared jaundice. Within a few days I had liver function tests done as well as a full chemistry panel, and everything was normal with the exception of my indirect bilirubin being 1.9 mg/dl and the total bilirubin was <2.2 mg/dl. At the time I thought nothing of it, and over four years of military service never had any medical professional mention anything during routine checkups (Note: At age 21 I quit consuming alcohol and at age 22 I began consuming a vegan diet.) After being discharged from the military then at the age of 22 I again had a full chemistry panel done to include liver function tests (as a check up to see how I was doing after 6+ months of a vegan diet), and again everything was normal except for my indirect bilirubin which was 3.3 mg/dl with the total bilirubin being <3.6 mg/dl. About a year later at the age of 23 I had the same set of testing done, and again everything was normal except for my indirect bilirubin which was 2.0 mg/dl with the total being <2.3 mg/dl. Now at the age of 24 (Note: I do not have access to test records prior to this, but everything was within normal range aside from the indirect bilirubin which I made note of.) I again had the same set of tests done, and will list the results: BUN-7.0 mg/dl, Na 144.9 mmol/L, K 4.64 mmol/L, Cl 104.1 mmol/L, ECO2 28 mmol/L, AGAP 7.3 mmol/L, CA 8.87 mg/dl, TP 7 g/dl, ALB 4.48 g/dl, AST 24.8 U/L, ALT 32.1 U/L, AHDL 46 mg/dl, Total Bilirubin 4.12 mg/dl, Direct Bilirubin 0.214 mg/dl, Indirect Bilirubin 3.9 mg/dl, ALPI 62 U/L, TGL 119.3 mg/dl, ALDL 65 mg/dl, VB12 386 pg/ml, Iron 177.3 ug/dl (ate a lot of beans), VITD 17.9 ng/mL, CHOL 121.1 mg/dl, and CRE2 .62 mg/dl. Since this round of testing was much higher it has led me to be re-tested multiple times over the past 4 months since the previous test, and not much has changed. Re-test 1: BUN 5.1 mg/dl, Total Bilirubin 3.39 mg/dl, Indirect Bilirubin 3.12 mg/dl, Direct Bilirubin .271 mg/dl, VITD 13.4 ng/ml, and iron 98.9 ug/dl (reduced bean consumption by 75%), (Note: Had a full blood count everything was normal and my Lactate Dehydrogenase checked, LDI 189.7 U/L.) Re-test 2: BUN 6.6 mg/dl, Total Bilirubin 3.81 mg/d, Indirect Bilirubin 3.53 mg/dl, and Direct Bilirubin .275 mg/dl. I have no other symptoms that I can reliably say that are present other than jaundice (sometimes worse than others), itchiness, the occasional yellow-ish stool (which I have only recently been making note of, but am sure that I have experienced it before), weight loss/gain multiple times throughout my adult life (40 LB in 3-6 months), and the possible occasional slight discomfort in my upper right abdomen, the latter of which to be honest I am not entirely sure actually exists or is a result of paranoia (Note: I have regularly experienced pain in the area of my right shoulder blade throughout my life (sometimes worse than others or non-existent.) After writing it off for so many years I now find myself increasingly paranoid about my potential health to the point that it is affecting my quality of life. With all of that said, what do you think this could possibly be, and could this be serious? Thank you for your time.
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Well its quiet a chronic issue with you! Where there is will there is a way kindly detail me you present situation in life how has this affecting your day to day life and what impact you find because of these. Also forward all your reports for proper guidance and medication support.
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