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One of the main components of bile, formed mainly from hemoglobin in erythrocytes. Other sources of bilirubin are myoglobin, cytochromes and heme-containing pigments. When hemoglobin breaks down, free (indirect) bilirubin is initially formed. Free bilirubin is transported from the spleen to the liver along with albumin. In the liver, it binds to glucuronic acid - it is conjugated. As a result, conjugated (direct) bilirubin is formed, which is actively excreted into the bile ducts. Depending on which type of bilirubin concentration increases in the plasma, hyperbilirubinemia is classified as unconjugated and conjugated.
Increased direct bilirubin concentration:
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