During Liver function test direct bilirubin measures the amount of bilirubin that is conjugated (bound) to other substances in the blood. Elevated levels of direct bilirubin may indicate problems with bile ducts or liver function. Indirect bilirubin measures the amount of bilirubin that is unconjugated (unbound) in the blood. Elevated levels of indirect bilirubin may indicate increased breakdown of red blood cells or problems with bilirubin metabolism. Albumin is a protein produced by the liver that helps maintain fluid balance in the body. Low levels of albumin may indicate liver disease or impaired liver function. Whereas, total protein measures the total amount of protein in the blood, including albumin and other proteins. Abnormal total protein levels may indicate liver disease, kidney disease, or nutritional deficiencies.
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