Is the bilirubin in the health certificate accurate?

Is accurate. The results of routine examination of liver function will be influenced by many factors, and it is usually necessary to make a comprehensive judgment based on transaminase, albumin, bilirubin, cholinesterase and other related indicators. When hepatocytes are damaged, alanine aminotransferase will increase; Severe liver injury, such as viral hepatitis, alcoholic hepatitis, fatty liver and other liver diseases, aspartate aminotransferase will also increase; Serum total bilirubin, indirect bilirubin and direct bilirubin are mainly related to jaundice caused by liver disease. Some foods or fasting, exercise, etc. It can also lead to a temporary increase in bilirubin. However, it should be noted that aplastic anemia and some secondary anemia also lead to the decrease of serum total bilirubin.