Everyone with PBC and increasing ALP should ask for the combi-therapy with Bezafibrat.
Your doctor can prescribe it with the diagnosis: metabolic fat disorder, so to avoid that it is not yet approved for PBC, because studies are so expensive for this cheap medicine.
(We all Pbc-ers have metabolic fat-disorder).
It helps so many of us Pbc-ers.!!
Get supervised under this additional therapy, as some people react with higher liver-labs. These then must stop or take less. Check at least after 2 weeks taking it.
See those Medical journals :
nejm.org/doi/full/10.1056/N...
nejm.org/doi/full/10.1056/N...
Scroll this one to see: conclusion.
Combi-therapy works wonders for me and also many others.Please give it a try.