Hi, rksheldon. Welcome to Mayo Connect.
Liver failure as a result of PSC, Primary Sclerosing Cholangitis, is the reason for my organ transplant. After I was initially diagnosed, I was able to live around 9 years pretty much symptom free. During those 9 years I was closely monitored by my GI who consulted with a hepatologist. Every 3 months I had an appointment, and labs drawn.

Here is a link to the Mayo Clinic Patient Care & Health Information. Primary sclerosing cholangitis
https://www.mayoclinic.org/diseases-conditions/primary-sclerosing-cholangitis/symptoms-causes/syc-20355797
How is your disease being monitored?