Beyond Diagnosis

19 Nov 2025 · 49 min

0:00

In this storytelling interview, host Rita De Michele talks with former attorney‑turned‑health‑coach Michelle Niemeyer about her battle with primary biliary cholangitis (PBC), an autoimmune disease that attacks the tiny bile ducts in the liver. Michelle explains how she was diagnosed through elevated alkaline phosphatase, AST/ALT, anti‑mitochondrial antibodies, and imaging (FibroScan, magnetic resonance elastography). She describes her lifelong reliance on Ursodiol – a synthetic bear‑bile medication – and her attempts to wean off it, noting rapid lab rebound when she stopped. The conversation shifts to the lifestyle and mindset changes that helped her reverse liver damage: filtered water (Berkey), cruciferous vegetables, onions, increased hydration, moderate walking, and occasional tart‑cherry juice; plus mindfulness, gratitude, “sparks” that light her up, and guided meditations that surface joyful memories. Michelle outlines her “Art of Bending Time” framework, which blends reframing stress, treating work as part of a whole‑person identity, eliminating digital distractions, and focusing on progress rather than outcomes. She recounts leaving a high‑stress law career, the emotional work of processing anger (linked to liver health in traditional Chinese medicine), and the importance of community – both a PBC listserv and broader social networks – for motivation. Throughout, she emphasizes that a combination of medication, intentional daily habits, and a growth‑oriented mindset can restore energy, purpose, and health after an autoimmune diagnosis.

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