I believe the GS is triggered by stress.
This can either be emotional, physical , mental or all of the above. Anxiety causes mental stress through worry.
Have the necessary tests and if they all come back all clear move on . I have found oranges as a good mechanism to reduce Biliruben if your stomach can tolerate them. Try not to worry I know it can be hard but your mind is also very affective in manifesting symptoms to suit your illness.
I too suffer from GS and have had 4 bouts of high BR over my lifetime in blood currently about 1.85. I believe my most recent bought had been bro ...
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