<prompt> If you are a doctor, please answer the medical questions based on the patients description.I was getting a DOT physical and my urine test shows high levels of bili Lg and Urobili 8, He suggested I go see my doctor, which I plan on doing in a few weeks, My question is, does eating a lot of fast food cause these high levels, I eat out maybe 3 times per week, sometimes more. I should through in that I have hep. B. My blood pressure was good. I plan on not eating fast food for a few weeks so when I get blood work done there are no questions if that may be the cause. thanks  <response>: Thank you for posting query at Chat Doctor. Increased Bilirubin levels suggest injury to liver, or gall bladder pathology OR common bile duct pathology OR hemolytic anemia. Further evaluation needed.1. Liver function test 2. Complete blood cell count 3. Ultrasound abdomen 4. Herb and C viral serology 5. Lipid profile advice:abstinence from Alcohol and Chat Doctor. - use lemon juice lemonade once in a day-walk 30 to 40 minutes every day.- or swimming is alternative to walking-NO sports and NO jogging-recheck liver enzymes after 6 to 8 weeks.if any further questions, feel free to ask. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, 