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Real members of myPBCteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myPBCteam Member asked a question 💭
Iliamna, AK
June 5
 · 
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A myPBCteam Member

My AMA was off the charts sky high. I was also informed it confirms the PBC diagnosis but that the actual number has no reflection in severity, stage or prognosis.

June 12
A myPBCteam Member

I just was officially diagnosed am with AMA 1:1280 , ALP is 77, SP-100 positive , will start Urso….
I asked about the AMA number and the hepatologist said it isn’t tied to prognosis or how you’ll respond to treatments .

June 12 (edited)
myPBCteam

An AMA titer of 1:98 is considered significant. For a PBC diagnosis, a titer of 1:40 or higher is one of the key thresholds doctors look for. So a result of 1:98 is well above that mark and is considered a strong indicator.

That said, a PBC diagnosis requires meeting at least two of these three criteria:

- ALP levels at Show Full Answer

An AMA titer of 1:98 is considered significant. For a PBC diagnosis, a titer of 1:40 or higher is one of the key thresholds doctors look for. So a result of 1:98 is well above that mark and is considered a strong indicator.

That said, a PBC diagnosis requires meeting at least two of these three criteria:

- ALP levels at least 1.5 times the upper limit of normal
- AMA titer of 1:40 or higher
- A liver biopsy showing bile duct damage consistent with PBC One important thing to know: a higher AMA level does NOT mean the disease is more severe. Studies show that AMA levels don't predict how serious PBC is, how long symptoms last, or how elevated liver enzymes will be. So try not to read too much into the number itself.

Your doctor will look at the full picture — AMA titer, ALP levels, symptoms, and possibly imaging — to confirm a diagnosis and guide next steps.

June 5

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