hi. noted history of recurrent jaundice and elevated bilirubin levels. are you experiencing any other symptom like abdominal pain, weight loss, nausea, vomiting? jaundice may be caused by an infective (i.e. hepatitis) or an obstructive (gallstones or tumor lesions) pathology. it is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. diagnostics (such as ultrasound, ct-scan, liver function tests, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. if it is indeed of gallstone disease, low fat diet is recommended. hope this helps. good day!! ~dr.kaye