Hello Dr. Samuel,        I am Vipin, aged 45. I got my blood report yesterday and it said my direct bilirubin level was 0.28 mg/dl. Is this level high? and my cholesterol levels are also high. do you have any prescription for this. i will type my cholesterol levels below,TOTAL CHOLESTEROL             -     234 mgHDL CHOLESTEROL - DIRECT  -     31 mgLDL CHOLESTEROL - DIRECT  -     145 mgTRIGLYCERIDES                        -     288 mg TC/ HDL CHOLESTEROL RATIO-     7.5 mgLDL / HDL RATIO                        -     4.6 mgVLDL CHOLESTEROL                -     57.58 mg
Hello, Your Direct bilirubin level is well with in normal limits. But your lipid profile values are very much deranged. Your serum Triglyceride level is high, and also your total cholesterol level is also higher than normal value. Your HDL cholesterol is not at desirable level.Thus, you have increased risk of coronary artery diseases. Please avoid oily and fat rich foods. Plan and eat the required calories accordingly. Do not take fast foods and deep-fried foods. Please take plenty of vegetables and fruits as much as possible. Fish is High in omega 3 fatty acids, it helps increase the levels of the good (or HDL) cholesterol. Also avoid processed foods like biscuits, cookies, cakes and fried stuff. Avoid red meat and egg yolk. Hope this helps. Please write back for further queries. Wishing you good health.