I went for a health check at doctors as my blood pressure was a little high. Following blood tests which showed extremely high ALP and GGT I was referred to a gastroenterologist. At present I have no symtoms apart from sometimes a slight ache on RUQ. I had an ultrasound and MRCP which showed nothing abnormal however blood tests have showed I have the AMA antibody therefore PCB has been diagnosed. I will be prescribed urso and the doctor wants me to have a biopsy to check staging. Unfortunately I have always suffered from health anxiety and feel that by having the biopsy it will make my anxiety worse if for example I was diagnosed with stage 4. My regular blood tests will show any worsening of my liver condition. Do you think that my decision is reasonable? I also have private health insurance my job and wonder if there would be any benefit in being referred to a hepatologist? Can I just say this forum has been very valuable to me, I suspected that I may have pbc and have read all th posts which have been most helpful.