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Testing for urobilinogen in urine is important since it shows how well the liver is working. The walls of the intestine produce bilirubin, which is broken down into urobilinogen and flushed out by the kidneys. If a patient gets ill and red blood cells are ruptured, there will be an increase in bilirubin. If the intestine or the liver is infected, then there will be a significant rise in bilirubin. This is the reason why the lab must insist on testing for urobilinogen in the urine, since it is an indicator of what is going on in the body.
In a healthy person, the urine should contain less than 17umol/l. You should see a doctor if the level rises above this; since it gives indications of a hidden infection that has not manifested yet.
Also your other findings with MCV, MCH and MHCH indicate that your red blood cells are a little lighter red color than usual, which could indicate possible early anemia. With how tired you have been I would suggest you take daily multipvitamin with iron and make sure your liver and thyroid blood levels get checked by your doctor.
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