### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hello, my daughter who is aged 26 was diagnosed with gilberts disease last year. her diet is very good and she doesnt drink alcohol. She has been very tired these past few months and her bilirubin levels are very high. She also keeps feeling faint. She has been to the doctor and she checked iron etc all ok, says  live with it. my daughter has told her that there is liver disease in the family with a cousin on the list for a liver transplant since a wee girl. also auto immune disease is prevalent in my family. Not sure what else she can do , would liver tonics be ok to take to see if this will help her?

### output:

Hi, as your daughter has been detected Gilbert disease last year, there is always a chance of increased serum bilirubin (conjugated) because of defective mechanism in the uptake of conjugated bilirubin from blood by the liver. But as u he stated that the bilirubin is very high there must be increase red blood cell destruction accompanying it. In Gilbert disease the total serum bilirubin does not exceed 4 mg/DL(So a blood investigation is required to rule out any infection .TLC, DLC YES dear liver tonics (herbal) are effective in such conditions n definitely it will normalize the bilirubin level as these activate the liver cells to work properly. Please follow this1) Tablet LIV.52 DS - 2tab after breakfast n 2 after dinner.2) Trifle powder-take 2 gram with warm water before sleeping at night3) syrup CANNOT 2tblspoon after breast n dinnerAvoid heavy meals at night This measures will surely normalize bilirubin level .do this for a month n come back to me. Best wishes ....u can contact me for any doubt..... Thanks