A 5-day-old exclusively breastfed term Indian neonate presents with jaundice (serum bilirubin 16 mg/dL, direct 0.6 mg/dL). Feeding is adequate and urine output normal. Maternal blood type is O Rh-positive; baby is A Rh-positive. DAT is negative. Which single feature best distinguishes breastfeeding jaundice from breast milk jaundice?

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