Wow... that is amazing. My MIL had both valley fever, and then
later, autoimmune hepatitis. She lived to be 92 and remained fairly active, considering, but had bouts of severe fatigue over 40 yrs. When the hepatitis progressed she did turn yellow (jaundice) but she was about 80 then.

You might try some taurine, which helps with bile flow and gall bladder symptoms. Start at 1000mg a day, and may go up to 2000. This is simple and no side effects. Ask your doctor about milk thistle also...as it is often used for liver problems.

Taurine works by binding to cholesterol which is passed into the bile and thru the gall bladder into the GI tract for elimination there via the stools. Taurine helps the bile flow better, so it doesn't irritate the passages, and cause crystallization and inflammation.

I bet autoimmune liver disease is more common than diagnosed.