question: My 14 y/9 son had his initial lab work prior to starting Accutane. His total bilirubin is elevated at 2.1 and his AST is low at 13, absolute monos slightly high at 0.92. Could you tell me what this might mean and should he start the Accutane or not? He was also known to have an elevated bilirubin at birth, does this mean anything?