Hope everyone is doing as well as they can. Extremely exhausted today due to driving three hours to see my heptologist then three hours back. Thankful that I have family that live close to the university medical hospital so I can stay over night. My ALT's are high along with my bilirubin, alkaline Phos, & sed rate. Dr says it's due to the PBC & a high possibility of aih. I have to go back next week for a EGD & colonoscopy, fun times😳🙄. He feels that I may have busted a varicie due to heavy lifting at work. The CT scan that was done in the ER on the 10th showed I have fluid in my abdomen. Dr also feels that my UC is active again, I believe so as well. I now have to resign from my job 😣☹️ because of a weight restriction I was given. It's truly a difficult issue for me because I absolutely love my job & the ladies I work with. But I know I have to put my health first. Started a strong antibiotic called Xifaxan for the brain fog which I found out is caused by the ammonia in my blood which affects the brain. I can't concentrate, I fumble over words, & sometime completely forget the conversation in the middle of it. Also started Lyrica for my joint & muscle pain. I'm trying to get through this part, but it's so difficult. It's difficult for all of us. Take care ❤ everyone.