I was diagnosed with Hoshimotos Disease in 2008 and PMR in 2023. I am not having elevated ACE and IGG4 (C3 is elevated too but Rheumatologist says she is not concerned). My liver enzymes have always been elevated, at least for 25 years. I have not eaten the best over the years and now have to go possibly for a liver biopsy. Is there anyone who has had one immune disorder after another and which ones have you had? I know that some immune disorders can cause others (such as PMR and Giant Cell Arteritis), and I am curious as to what other ones may be linked to Hoshimotos Disease and/or PMR?