Blood Testing

Bilirubin Test

Bilirubin is a yellow pigment formed as red blood cells break down and are cleared by the liver. Measured in µmol/L, its optimal range is 10–20 µmol/L, where it also acts as a natural antioxidant supporting metabolic and cellular health.

Tracking bilirubin helps you understand how efficiently your body processes waste and manages oxidative stress. Balanced levels support energy, resilience, and long-term wellbeing.

Bilirubin is available in Vively's Metabolic Essentials Test. Book your blood test now for only $199 per test.
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What is bilirubin?

Bilirubin is a yellow pigment produced when red blood cells break down naturally. It’s processed by the liver and excreted through bile into the intestines.

Why does it matter for long-term health and wellbeing?

Bilirubin plays a key role in detoxification and functions as a natural antioxidant. Maintaining optimal levels supports metabolic health, energy balance, and long-term cellular protection.

What’s an optimal level of bilirubin?

  • Typical lab reference range: 1–20 µmol/L
  • Optimal range for wellbeing: 10–20 µmol/L

What influences bilirubin levels?

Levels can be affected by hydration, diet, alcohol intake, physical activity, and how efficiently your body breaks down and processes red blood cells. Genetics and overall liver function also play a role.

What does it mean if bilirubin is outside the optimal range?

Lower levels may reflect reduced antioxidant support, while higher levels can indicate that waste clearance is less efficient. If results consistently fall outside the typical range, further testing may help identify underlying lifestyle or metabolic factors.

How can I support healthy bilirubin levels?

Focus on a balanced diet rich in antioxidants, stay hydrated, maintain regular physical activity, and support your body’s natural detoxification through quality sleep and reduced alcohol intake.

This information is provided for general health and wellness purposes only and does not replace medical advice.

References

  1. Vítek, L., & Tiribelli, C. (2023). The physiology of bilirubin: health and disease equilibrium. Frontiers in Pharmacology, 14.
  2. Jiang, J., Zhou, J., & Yang, Y. (2021). The Nonlinear Relationship Between Total Bilirubin and Coronary Heart Disease: A Dose-Response Meta-analysis. Frontiers in Cardiovascular Medicine, 8:761520.
  3. Stocker, R., Yamamoto, Y., McDonagh, A. F., Glazer, A. N., & Ames, B. N. (1987). Bilirubin is an antioxidant of possible physiological importance. Science, 235(4792), 1043–1046.
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Biological Age
1 marker

Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
Red Blood Cell (RBC) Count
Haemoglobin
Haematocrit
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Distribution Width (RDW)
Platelet Count
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Blood health

Key blood indicators like hemoglobin, inflammation, and oxygen transport for overall health.
Cholesterol Ratio
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Assesses cardiovascular health through cholesterol, lipids, and heart-related risk markers.
Cortisol
Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
Thyroid stimulating hormone (TSH)
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Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
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Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
Bicarbonate
Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
Anion Gap
Estimated Glomerular Filtration Rate (EGFR)
9 markers

Kidney function

Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

Liver health

Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

Metabolic health

Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
Magnesium
1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
Creatine Kinase
1 marker

Muscle strength

Assesses biomarkers related to muscle performance, function, and recovery.
Biological Age
1 marker

Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
Red Blood Cell (RBC) Count
Haemoglobin
Haematocrit
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Distribution Width (RDW)
Platelet Count
8 markers

Blood health

Key blood indicators like hemoglobin, inflammation, and oxygen transport for overall health.
Cholesterol Ratio
HDL Cholesterol
LDL Cholesterol
Non-HDL Cholesterol
Total Cholesterol
Triglycerides
6 markers

Heart health

Assesses cardiovascular health through cholesterol, lipids, and heart-related risk markers.
Cortisol
Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
Thyroid stimulating hormone (TSH)
5 markers

Hormone balance

Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
White Blood Cell (WBC) Count
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
6 markers

Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
Bicarbonate
Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
Anion Gap
Estimated Glomerular Filtration Rate (EGFR)
9 markers

Kidney function

Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

Liver health

Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

Metabolic health

Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
Magnesium
1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
Creatine Kinase
1 marker

Muscle strength

Assesses biomarkers related to muscle performance, function, and recovery.
Biological Age
1 marker

Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
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03

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