Thank you for posting query at HCM. more history would have given a better picture of your clinical condition. did you merely have increase bilirubin ? what about liver enzymes when you found increased bilirubin ? whats your age? are you alcoholic? are you taking any medications ? did you test for viral hepatitis serology? anyhow, increase in the level of liver enzymes with increase BILIRUBIN reflect an INJURY to the Liver. medically, the condition is know as Hepatitis . loss of appetite, fatigue, abdominal discomfort are classical symptoms. You need to test for HepB & C serology as well as Lipid Profile too. if all causes of hepatitis are ruled out , then - abstinence from Alcohol and drugs - very LOW or fat free diet should be followed for couple to few weeks - Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day -recheck liver enzymes after 2 to 4 weeks. wish you good health. further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited . wish you good health. regards, Dr Tayyab Malik