What lifestyle modifications should I advise for patients with PBC to help manage their condition?

Lifestyle modifications for patients with primary biliary cholangitis (PBC) primarily focus on symptom management and general liver health support.

• Pruritus management: Advise simple measures such as maintaining a cool, well-ventilated environment, wearing loose clothing, and avoiding hot baths or showers to help relieve itching.
• Alcohol consumption: Patients should be advised to avoid alcohol or keep consumption within national recommended limits to prevent further liver damage.
• Nutrition and diet: Encourage a balanced diet to support overall liver health and prevent malnutrition, which can be a concern in chronic liver disease.
• Physical activity: Promote regular moderate exercise as tolerated to maintain general health and reduce cardiovascular risk, which is important in chronic liver conditions.
• Medication adherence and monitoring: Ensure patients understand the importance of adhering to prescribed treatments and regular monitoring by specialists.
• Referral and support: Provide information on support resources such as the British Liver Trust for patient education and psychosocial support.

For more severe symptoms or complications, specialist advice should be sought.

These recommendations are based on general liver disease management principles and symptom control strategies outlined in UK clinical guidelines for liver conditions, including advice on pruritus and lifestyle in chronic liver disease ²,³.