<s>[INST] hi good morning, Doc, my i ask how can i reduce my total bilirubin, 1st i get met my medical annd i got 1.89 tb then after they told me to take silymarine (legalon) 140mg and phospolhiphides multivitamins (essentiale) for 1 week and 3 x day, then after a week they try it again but instead to make it lower it make higher and make it 2.29, i dont know what happen i dont eat meat anything with oil i only eat fish, may i ask what should i take and what should i avoid to eat ill try to oatmeal and banana only for everyday to make it lower it is ok how about medicine should i take the silymarine lower mg instead of 140 mg  i just want to make it to 1.0 level,  thank you very much [/INST] Hello! Thank you for the query. Diet or submarine won't rather help with elevated bilirubin level. You should rather be well diagnosed to find out what is the reason of such elevated bilirubin. There are many reasons of bilirubin problem including gallstones in bile ducts, pancreas cancer (this can be the first symptom), liver issues (viral infection, cirrhosis, tumors), blood hemolysis. I suggest you to do not wait any longer with it. You should have blood work, liver tests (AST, ALT,GTP, AP), liver virus tests (Bag, Antioch), abdominal CT. Hope this will help. Regards. </s>