Diagnosed 2012 PBC alp222 ALT 60 antibody pos
On UCDA for lft since 2013
Bezafibrate my request since 2020 ( papers from Japan/ France
Methotrexate for inflammatory arthritis ( i think related to PBC
Coenzyme Q10 - fatigue
2021 LFT normal egfr69 lower end normal
Well some fatigue run 5k x4 a week aged 58
Had to give up being a fulltime Dr medical retirement but still part time.
Gluten and dairy free decreased esr and crp
Diagnosis
PBC suspecting
AMA 
Should I get liver biopsy? Advise and guidance needed. 
Equivocal AMA
