###Human: Is it fine to have a bit higher bilirubin level? ###Assistant: Hi. If Mmol means micron mol, then it is fine (attachment removed to protect patient identity). It looks like a normal variant of hyperbilirubinemia. Most common cause of the condition is hemolysis, Gilbert syndrome is also a common cause of such a situation. In both the conditions, we find the unconjugated bilirubin. I hope your urine is not yellow. Another issue is you have high BMI. It is obesity. So, you may have a fatty liver disease, that could be the cause of high ALT. I want to do a fibroscan and repeat ultrasound for fatty liver and TATA box mutation for Gilbert syndrome and reticulocyte counts with smear examination and G6PD level in blood. Rest of the workup you have already done. You may provide the complete reports of the investigation, including the previous investigation. So it will be good for us and help to interpret. Hemolysis (thalassemia variant or G6PD deficiency), Gilbert syndrome, fatty liver disease. Do fibroscan and repeat ultrasound for fatty liver. TATA box mutation for Gilbert syndrome, reticulocyte counts with smear examination and G6PD level in blood, liver function tests, fasting blood glucose, HbA1c. Hemolysis (thalassemia variant or G6PD deficiency), Gilbert syndrome, fatty liver disease. Provide the reports. Do regular exercise, at least 1 to 2 hours a day. A low-fat diet. Target weight is 75 to 80 kg, lose 5 kg in the next three months. Stop alcohol, if you are addicted to that. Capsule Vitamin E, 400 mg once in a day.