<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, my unconjugated bilirubin reading is abnormally high, while the conjugated reading is normal. Besides, all other liver function indicators are normal. I had my gall bladder removed several years ago too. What do think is responsible for this unusual readin. Olayinka  <response>: Thank you for posting query. Noted that you have abnormally high conjugated bilirubin. Increased bilirubin is termed as Jaundice. Bilirubin is conjugated in the liver. Bilirubin is derived from the breakdown of heme. Hemoglobin is a complex protein found in Red blood cell that plays important role in transport of oxygenCO2 from lung to tissues and vice versa. Increased breakdown of hemoglobin will lead to increased heme production and ultimately increased bilirubin. These abnormally high bilirubin can NOT be conjugated by liver and circulate in blood. Therefore, high conjugated bilirubin indicates Hemolytic Anemia abnormal increasedbreakdown of red blood cell. You need to do following test:Complete Blood cell count CBCPeripheral Blood Smear Lab results maybe posted here or visit your treating physician hematologist hepatologist.my name Chat Doctor. You may also put a direct question to me via this portal or by contacting Chat Doctor admin. Any further questions are welcomed. Wish you good and sound health. Regards, 