“…Remarkably, effect modification of the relationship of SAA with bilirubin was observed in the context of MetS, T2DM and insulin resistance, despite expected robust correlations between hs-CRP and SAA levels, which were present in all subject categories. Lower bilirubin levels in MetS, and the inverse relationship of bilirubin with HOMA-IR extend other studies that reported on such inverse relationships of bilirubin with abdominal obesity [35], insulin resistance [36] and diabetes [3,37]. In a large Korean cohort, higher bilirubin levels were also found to be associated with a low prevalence of MetS [5].…”