Hi, Sandy!
I was diagnosed with PBC (primary biliary cirrhosis) in 1992 at the age of 48, solely on the basis of elevated liver enzymes. A liver biopsy was done to confirm the diagnosis and stage the disease and returned positive for cirrhosis. At the time I lived near Chicago, so had good medical care available and the GI guy started me on methotrexate which had been one of the Mayo protocols for treatment and I understand has since been discredited as a treatment for PBC. Nonetheless, due to the drug or by coincidence, the enzymes began to fall and slowly, very slowly, returned toward normal. It turned out I had a heavy autoimmune component to my disease and it progressed very slowly, allowing my liver to accommodate and I had 25 years of extraordinarily good health while being followed for PBC. Eventually in 2017, a couple lesions showed up on a routine MRI which turned out to be hepatocellular carcinoma. That's when I first reached out to Mayo and it was the best decision of my life. First they took care of the cancer and then did a liver transplant in November of 2018. I could not have wished for better or more compassionate care.

I am doing well and hoping for many more good years. I hope this offers you some hope for your daughter. I'm now 74 years old and have led an active and full life; thanks to the Miracle of Mayo it has been extended. My best wishes for you and your daughter.
Sharon