Conversation: The conversation between human and AI assistant.
[|Human|] My 14 y/9 son had his initial lab work prior to starting Accutane. His total bilirubin is elevated at 2.1 and his AST is low at 13, absolute monos slightly high at 0.92. Could you tell me what this might mean and should he start the Accutane or not? He was also known to have an elevated bilirubin at birth, does this mean anything?
[|AI|]  Hi, thanks for posting query at Chat Doctor. Total bilirubin is slightly elevated. Nothing to worry if his skin and sclera appear normal. You may recheck bilirubin after couple to few weeks. Bilirubin at birth is high till 6th day. it's Physiologic. Secondly, AST is NORMAL at 13, it's not low. No harm to start accurate provided its prescribed by a health practitioner.  Hope to answer your concern regards Chat Doctor.