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08 Dec 2005

Billy Rubens
What is billy rubens and how do you prevent it?
Answer 15,447 views

01 Jan 0001

Dear Gerhard,
I think you mean bilirubin. You can't prevent it, it is a normal by-product of the breakdown of red blood cells. It gets excreted in your urine and stool. If you have an obstruction in your gallbladder tubes or a blood or liver disease the excretion may be impaired or you may make too much of it and then the levels in the blood, urine or stool can be higher than normal. In newborn babies it is dangerous as their brains are not yet developed to be protected against the toxic effects of bilirubin in the blood, but adults have a barrier that prevents the bilirubin from going into the brain. High bilirubin makes your eyes and skin yellow and itchy.
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