Janna, My first guess about high bilirubin would be Gilbert's syndrome which affects some people and they usually don't even know it until they do routine blood tests. It's a type of jaundice which generally has no symptoms except elevated bilirubin levels. It tends to run in families. We know that fasting and stress- both phyical and psychological (post-partum?/bfn link?) can cause the bili to rise. If the liver tests show up normal, I'd go to a specialist and ask about Gilbert's. Susan Nachman-Srebrnik, IBCLC Ranana, Israel