My Alk phos score is 130. My meld score is 6 I feel good. No itch. I moved to stage 4 , 6 months ago and was diagnosed 20 years ago. Our bile can’t break down fats except for olive oil. Avocado oil and MCT oil. I stay away from bad fats like margarine , crisco, fatty meats, etc. I drink a small bottle of kefir twice a day. Low sugar, low fat. We tend to lose bacteria in our gut. Keep my salt intake at around 1500 mg. I eat 60 to 80 grams of protein daily. Fresh fruits and vegetables, unsalted nuts for a snack. Eat small meals. I work out 3 times a week, plus do chores.
I am on 350 Urso twice a day. My symptoms are dry eyes and mouth, mild bloating
My weight is good. I hope I have another 20 to 25 years. Life is good.

Hi Joyce
You and I are in the same stage. I am only taking Urso at this time. I get checked every 6 months. It is my understanding when and if our Alk Phos goes above 200 then the second medication is given. So far Urso is still working for me and my numbers are down. I eat totally clean and organic. No alcohol. I drink kefir daily for my digestive tract. So far I have made it to 70. Best wishes on your journey.

I’m on Urso last 2 1/2 years. I’m stable. No new meds offered to me ~Labs are good.

Hi Joyce, I two am stage 4. My blood work is not good. I take ursodol cellcept ( anti rejection drug) I take cholesterol meds for my liver vitamin d3 b12 vitamin a I get an injection 1 a year for step. I take a lot more this is what I know off hand. I’m up for a transplant. I see the liver surgeon Feb 6