I was diagnosed 18 months ago with PBC. My gastro Dr. at that time, as well as my hepatologist, told me that I do NOT have fatty liver disease. Now I have a new gastro Dr. She recently told me that I DO have fatty liver disease, in addition to the PBC. My ALT & AST are normal, & that is what I read is the definitive diagnoses for fattly liver disease, along with evidence in the liver ultrasound. My 4 liver ultrasounds show n evidence of FLD. She also tells me she thinks FLD is the main reason my ALP is elevated, rather than the PBC, since my AMA is .33.I don't know what to believe. What would you think, if you were told this?