Lately I’ve been feeling very tired every mid afternoon more so than I ever have I’m wondering is this the PBC and just a natural progression. I was diagnosed 20 months ago with no liver damage just raised LFTs and have been on Urso ever since I take one capsule in the morning and 2 in the evening. I also changed my diet for 2 years I’ve had no alcohol ( only light social drinker before) and no dairy or gluten and very limited sugar or processed foods. I did the ‘Myers Way’ of eating for some time but have added other things in now as socially it became too difficult. I’m challenged as I have a big creative work project on and it his hard keeping doing as much as I need to when I’m fatigued. I haven’t shared this challenge with my colleagues/partners as we are contracted by investors to finish within a particular time frame and to a budget that will blow out if it takes longer. What do others do when tired? I’ve had a massage and Accupuncture and wonder if more exercise would help or would that be too much with the tiredness? My work is not physical except mildly so at times. Suggestions appreciated.