I am 25 and had a liver transplant earlier this year.
I'm sorry, I don't really have any advice to give you, but I just thought I'd reply to offer some support, and ask some questions myself.
I didn't know about blood tests not being reliable indicators, no one has ever told me I may need a biopsy.
I suppose it depends what the cause of your transplant was. If the cause is still present in some way, or may return - like with HepC, then maybe you're more likely to suffer with cirrhosis at a later date. The cause of my liver failure is unknown (though there is a suspicion it was AIH) so I don't know whether I should be concerned.
Out of curiosity Shane, how has your general health been after your transplant? (apart form your recent problems of course)