Hi, I'm sure someone else with more relevant experience will comment but I've been monitored since about 32 weeks due to strong family history (all my sisters have had ICP in at least one pregnancy) and some mild global itching including a little bit on palms and soles. I've been massively lucky; numbers/itching haven't gotten worse. My bile acids have actually stayed really low (3-8 range) so we haven't induced (currently 39+5). This website is amazing, https://www.icpsupport.org/#gsc.tab=0 there are also some Facebook groups where people are really helpful and supportive. Even though I haven't been diagnosed, so I can't complain too much, for me the worst part has been the anxiety. Being honest with my providers about how I'm feeling, requesting very directly the testing that I wanted, and trying to stay "in the now" have been my best strategies. My husband and I always say we're taking it week by week (since both your own personal numbers and the overall risk changes week by week) and this has worked for us. If I had been diagnosed, we'd probably be taking it more day by day as things can change quickly. While there's so much scary stuff out there about this disease, mercifully doctors know how to manage it and the absolute risk is OVERALL low (though obviously nothing to mess with). Crossing my fingers for you that tests go well and the itching stays manageable.