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A bilirubin test measures the amount of bilirubin, a yellow-orange pigment, in the blood. Bilirubin is produced when red blood cells break down. The test includes total bilirubin, which measures both direct and indirect bilirubin. Direct bilirubin is processed by the liver, while indirect bilirubin is unprocessed. This test helps evaluate liver function, diagnose liver diseases like hepatitis or cirrhosis, and identify conditions causing jaundice, a yellowing of the skin and eyes.