So I have researched Gilbert Syndrome Significantly and it is a highly complex genetic disorder.
I would like to hear other opinions and start a discussion about the unassociated risk factors
My basic opinion is -
Gilbert’s Syndrome should be described as a liver dysfunction due to a deficiency of at least 70% of the UGT1A1 gene.
UGT1A1 is the only enzyme available to convert bilirubin to a non toxic form.
Due to this deficiency of at least 70% depending on which polymorphism exists/ variant.
There are approximately 130 variants of Gilbert’s Syndrome which can only be proven with a genetic sequencing test. Some variants present a higher deficiency of the UGT1A1 gen than others.
*The NHS in the UK will not perform a genetic test.. and do not associate Gilbert’s Syndrome as a variable disease
I believe that Gilbert Symdrome should be considered and associated with an overall liver dysfunction which is totally variable depending on which variant the patient has.
The UGT1A1 gene is responsible for converting bilirubin to the non toxic form but also responsible for the detoxification of
Medication/ drugs
Plastics
Toxins
Alcohol
Chemicals
Also some toxins and chemicals have been proven to be substrates.
Overall I believe a deficiency with Gene UGT1A1 can impair the body’s detox ability, potentially leading to a number of health problems.
This is variable in severity dependent on which variant is present.
I believe Gilbert Symdrome can be a deficiency of UGT1A1 of at least 70% to possibly 90% +