wondering if anyone else has had similar symptoms. All started in 2002 after a virus, ALT was double AST for 10 years. Constant tiredness, pains in legs, hips, hot sweats, easily fatigued, pain in lower left back. Got slightly better over years. All diagnosed as chronic fatigue syndrome. Now in 2017 after a fibroscan of around 7kpa liver doc first says stage 2 fibrosis, havent touched alcohol in 3 years. Then runs a bunch of blood tests and all is normal except smooth muscle antibody which is positive. Refers me to endocrinologist who runs more bloods and tests cortisol stim and tells me i have low growth hormone. After a course of antibiotics 2.5 years ago i have had this dull pain in liver area, started immediatly after antibiotics. Also get odd rashes in skin, like scratch marks of hives. i have noticed the liver pain and the rashes are worse when allergies are highest. i live in texas and allergies are crazy here almost all year round something blooming. I suspect with the autoimmune antibodies i have had this for 15 years and been cause of the chronic fatigue. my nails are going very pale with the red tips and have had instances of hair falli g out my beard after some prescription meds. i think these have been flare ups of tge autoimmune hep. anyways liver dr doesnt want to biopsy as my other labs r normal. Should i just ignore this or should i be on prednisone or something? Hopung someone with similar experiences as me can give me some direction as feel dr's dont really listen. I have had ultrasound, mri, ct, up and down endoscopes when the pain in liver started 2.5 years ago and nothing was seen in those scans. But have heard autoimmune hep can be quite difficult to see with these non invasive scans.