Hello Ryan, You direct bilirubin level should be below 0.3, total bilirubin below 1.9. Indirect bilirubin is the difference between the two. Your other labs are unremarkable, or normal. Therefore, you have elevated direct bilirubin at about twice the normal limit. So following your blood test would mean either making a plan based on your blood test reports, or getting another blood test to see if your direct bilirubin has increased or decreased. Elevated bilirubin can come from many different places: -Destruction of too many red blood cells (hemolytic anemia) -Reabsorption of large hematoma -Hepatitis (viral, alcoholic, autoimmune) -Defects in the livers ability to get rid of bilirubin -Gallbladder disease and disease of the ducts that drain the bilirubin -Pancreatitis or pancreatic tumor -Medications (tylenol) -Cirrhosis -Congestive heart failure -Sepsis or overwhelming infections -Pregnancy -Total parenteral Nutrition Overall, bilirubin is a measure of liver health. Total Bilirubin greater than 3 can cause yellowing discoloration of the skin and eyes, however. Therefore, you want to follow blood works and make clinical decisions based on what happens with the bilirubin at the next lab work. For example, if the bilirubin goes up, you will need further blood work to determine the causes listed above. If it decreases, you will be in the clear.