My PBC diagnosis came from a process which was started because it was discovered I was severely anemic. I had exxtra iron, levels improved, I have taken ursofalk over a year now and I am a lot better. Then two months ago I started feeling exhausted again. Now my iron levels are down and a new investigation is under way. Anyone else anemic? Why does this keep happening? I am sooo tired all the time. It is really boring!