Liver function tests require fasting because bile acids are highly concentrated and are released after meals to cause an increase in total bile acids, so having breakfast and having a high blood test for total bile acids 23 can have an effect. Blood test total bile acid 23 is high in reference to normal values. Serum total bile acid is a diagnostic indicator of substantial liver damage and digestive disease. Elevated TBC can be caused by hepatocellular damage and disorders of the enterohepatic circulation. Elevated total bile acids are usually found in acute and chronic hepatitis, hepatitis B carriers, alcoholic hepatitis, hepatocellular jaundice, common hepatic duct injury, and intrahepatic cholestatic disease. So in order to avoid misdiagnosis, it is recommended to take another test on an empty stomach, if there is still elevated phenomenon, it is recommended to consult a doctor in a timely manner, improve the rest of the relevant tests if necessary, and under the guidance of the doctor’s treatment.