Primary Biliary Cirrhosis

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HI all, I have a new patient coming in with PBC. She has no symptoms at this time. It was discovered on routine labwork. Had been stable for quite a while but recently has acted up as far as liver enzymes shooting up. I'm not sure yet if she is on any meds for this. This is considered an Autoimmune disease attacking the bile ducts within the liver which leads to damaged ducts which leads to leaking of bile and liver damage. Just a refresher for ya. I have read so far that potential underlying "triggers" or "causes" may be EBV, other infections, tainted well water, and some medications. Interestingly, Celiac sprue is 10 times more common in PBC patients. My question is simply for those who have worked with this condition, have you found any pattern of potential underlying factors such as heavy metal toxicity, certain food

allergies (have you seen gluten be a big issue?), pesticides, viruses, whatever. Just hoping to get some leads as to possible things leading to the autoimmunity which is obviously what needs to be treated here. Otherwise, we'll start with the BTGs, lipotropics, fibrinolytics, liver and GI drainage with undas, food allergy testing and/or antiinflammatory diet. All comments welcome. Kim SAxe, ND Milwaukee, WiKim E. Saxe, ND (formerly Wetzler) Vice-President, Wisconsin Naturopathic Physicians Association www.milwaukeenaturopathic.com Seven Stones Center for Wellness 1924 N Farwell Ave Milwaukee, WI 53202 414.224.1074 Riverwest Clinic 826 E. Center St. Milwaukee, WI 53212 414.372.5553

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