How to treat elevated bilirubin during interferon treatment for hepatitis C?

Patient's question:

The results of the patient's recent detailed examination are as follows: Total bilirubin 34.8; Direct bilirubin 8.5; White blood cells: 2.97; Absolute neutrophil count: 0.95; Hemoglobin 109; Alanine aminotransferase 60. Your kind doctor, given that the bilirubin level is so high, how should the patient be treated next?

Doctor's answer:

You currently have a decrease in your HCV viral load, and it is necessary to receive standardized antiviral treatment. However, your bilirubin level is below normal, and the cause needs to be identified and treated. Once the bilirubin level returns to normal, we can consider antiviral treatment for HCV.
Chen Yisen from the Department of Hepatology at You'an Hospital solemnly advises: Due to the inability to conduct face-to-face consultations with patients, it is impossible to fully understand the condition. In addition to treatment, it is important to maintain adequate sleep. Sufficient sleep will help you recover more quickly and distance yourself from the illness.

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