Hi @SamanthaMech,
I have had some instances where I take my TDF early in the morning on an empty stomach and it doesn’t really agree with me. I found it better for me to take it with or after meals. Perhaps you can try putting it in the yoghurt?
Not sure if pepto bismol is OK to mix with TDF; it is worth checking with your pharmacist (@hope4us any input here?). Here is some information about other antacids: Lifestyle changes, nutrition, and supplements for hep b - #74 by hope4us
I think @PuallyHBV has some first-hand experience with liver disease-related itching, he may have some tips about what works for him. In my reading, it seems like scientists don’t know exactly what causes it (and it may be different in different people). Indeed, it is common in cases where bilirubin is high. If it is caused by the liver disease itself in this case, then he should improve as the antivirals work to reduce the liver damage. If it continues as the liver disease gets better, it might be worth considering a switch to another antiviral (e.g. entecavir, ETV).
Hope this helps,
TT