In this special PBC Awareness Month episode of *Living My Best Liver Life*, Livie welcomes Dr. Robert G. Gish, a leading expert in liver disease, transplant medicine, research, and global liver health policy, for an honest and informative conversation about primary biliary cholangitis, or PBC.

Together, they break down what PBC is, why it can be difficult to diagnose, and what patients and families should know about liver enzymes, AMA testing, biopsies, risk factors, symptoms, and disease progression. Dr. Gish also shares insight into associated conditions such as thyroid disease, dry eyes and dry mouth, osteoporosis, celiac disease, vitamin deficiencies, fatty liver disease, and the importance of regular follow-up care.

This episode also explores the real-life challenges many patients face, including fatigue, itching, sleep disruption, brain fog, lifestyle changes, vaccines, nutrition, movement, and the emotional side of living with a chronic autoimmune liver disease. Livie and Dr. Gish discuss the importance of patient advocacy, knowing your body, asking questions, and partnering with healthcare providers to create an individualized care plan.

Whether you are newly diagnosed, still searching for answers, supporting someone you love, or simply wanting to better understand PBC, this conversation offers education, encouragement, and hope. You are not alone on this liver life journey.

LivingMyBestLiverLifewithLivieWells.com for PBC Merch PoP up shop. Mentioned during the conversation - Global PBC Foundation based in Edinburgh .

Friends of the PBC Foundation