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In the context of breast milk jaundice, the bilirubin levels can stay elevated because of either inadequate feeding (early onset) or because of substances in breast milk that can interfere with the liver's processing of bilirubin (late onset). Elevated bilirubin levels are what cause the yellowing of the skin and eyes that you see with jaundice. Bilirubin isn't inherently dangerous in low levels, but if it gets too high, it can lead to problems. This is why doctors monitor bilirubin levels closely in newborns with jaundice, especially in the context of breast milk jaundice. The goal is to keep bilirubin within safe ranges to prevent any complications. High levels may lead to a condition called kernicterus, which can cause brain damage. So keep those check-ups scheduled, and keep an eye on your little one!