“…Although it is widely known that unconjugated bilirubin can be elevated in hemolytic diseases and can be neurotoxic at very high levels in newborns (Watchko & Tiribelli, 2013), unconjugated bilirubin, the primary form of bilirubin circulating in healthy individuals, is also a powerful antioxidant (Rizzo et al, 2010;Stocker, Yamamoto, McDonagh, Glazer, & Ames, 1987) at levels within the normal reference range. Thus, while seemingly counterintuitive, bilirubin has been inversely associated with risk of a number of disorders, including pulmonary disease (Horsfall et al, 2011), cardiovascular disease (Hopkins et al, 1996;Madhavan, Wattigney, Srinivasan, & Berenson, 1997), diabetes , rheumatoid arthritis , colon cancer risk (Zucker, Horn, & Sherman, 2004), and all-cause and cancer mortality (Temme, Zhang, Schouten, & Kesteloot, 2001).…”