In uncomplicated hemolytic anemia, the bilirubin that accumulates in the bloodstream is in the unconjugated form, because a normal liver can conjugate and excrete bilirubin as fast as it can be taken up. Unconjugated bilirubinemia is reported by the laboratory as an increase in "indirect bilirubin", a term referring to a method for measuring bilirubin that detects mostly the unconjugated form. If there is liver damage along with haemolytic anemia, both unconjugated and conjugated bilirubin appear in the blood, the latter leaking into the bloodstream from the damaged liver cell before it can be excreted in the bile. Conjugated bilirubinemia is reported as an increase in "direct bilirubin".