For the past two years or so, I've had a very low appetite and don't always eat meals, as I should. I've heard that with PBC it's better to eat small meals throughout the day to help support better digestion. Even so, there are many days when I don't have enough caloric intake to support my output of energy ---- driving me to feel more fatigued than I already am. I worry that although I am on vitamin supplements, I'm not getting enough nourishment and noticed my skin is getting dull and my hair is starting to fall out in chunks. Just a note: my Gastro postponed starting meds at the time of DX due to a suggested move to a Gluten Free diet (which has helped immensely and caused a 35 lb. loss). He anticipates I will start meds in Sept when the change in my weight levels out. So, it isn't the introduction of new meds causing my lack of appetite. Thanks for your tips on stimulating appetite or ideas on how to increase food intake. I'm currently eating about 1,000 or less calories per day and just don't feel hungry at all.