Treatment is working. No scarring. Levels normal. I’m still wiped out.

I had my fibroscan and bloodwork done last month and thanks to the Urso/Iqirvo combo my liver looks normal. (I almost had wine at Passover! I didn’t. I brought a non alcoholic wine for myself.)

But I am still struggling. My physical fitness is so slow to improve. I work out regularly, multiple days a week, and I think there really is something to the idea that antimitochondrial antibodies aren’t just benign markers.

I’ve seen some reports about people with PBC being unable to process lactic acid efficiently and switch from aerobic to anaerobic metabolism really quickly.

I dunno. I just had to vent. I feel like I’m making no progress.