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The bile pigment, bilirubin, comes from red blood cells. When old red blood cells are destroyed by the body, the oxygen-carrying molecule within the cells, hemoglobin, is released into the blood. The hemoglobin is rapidly converted to bilirubin in the blood. The bilirubin is removed from the blood by the liver, modified, and excreted into the bile. The bile flows into the intestine so that the bilirubin is eliminated in the stool.

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