Thanks for posting your question on HCM! I appreciate your concern towards the bilirubin level. Gilbert s syndrome is a benign, familial disorder characterized by intermittent jaundice. It is due to low activity of the conjugation in the liver which normally detoxifies the bilirubin in our body. Gilbert s syndrome doesn t require treatment. The bilirubin levels in your blood may fluctuate over time and you may occasionally experience jaundice. But this usually goes away on its own, and it doesn t cause any ill effects. Each doctor you visit should be told that you have Gilbert s syndrome, so any medications can be selected with this in mind. Lifestyle modifications: Eat a healthy diet full of fruits and vegetables. Avoid extremely low-calorie diets. Stick to a routine eating schedule and avoid fasting or skipping meals. Avoid alcohol, manage stress, consider exercise or quiet time alone to cope with stress. Take care of your health.