Allan,
Thank you for your reply. I was reviewing past blood work and in 2014 the T bili count was only .90. Alt 13 AST 17. Not bad for a 20 year hep C survivor! 2017 the T bili was 1.3, top of the range, ALT 19, AST 21. Last month T bili 1.6, ALT 16, AST 26. Same time last year platelet count was 185K, last week 140K and the red blood cell abnormalities have increased since last year and the counts dropped. I found this on line “Blood bilirubin increased is found among people with Myelodysplastic syndrome, especially for people who are male, 60+ old, take medication Exjade and have Iron overload. This review analyzes which people have Blood bilirubin increased with Myelodysplastic syndrome” https://www.ehealthme.com/cs/myelodysplastic-syndrome/blood-bilirubin-increased/ and then this on a google search: “Some conditions can cause bilirubin levels to be high before it reaches the liver. This is called the pre-hepatic or “pre-liver” phase and it can be caused by hemolytic anemia and reabsorption of internal pools of blood. Hemolytic anemia happens when too many red blood cells are broken down.” So this could be the reason for the low red blood cell counts and high T bili. Too many red blood cells being broken down before they reach the liver.
