Disclosures: Shikha Sundaram: MIRUM: Advisor, IPSEN: Advisor, Swati Ghosh: Nothing to Disclose, Alexander Chaidez: Nothing to Disclose, Ronald Sokol: Nothing to Disclose 2478 ADVANCED HEPATIC FIBROSIS BY MR ELASTOGRAPHY IS ASSOCIATED WITH ABNORMAL SERUM LIVER BIOCHEMISTRIES IN PEDIATRIC PRIMARY SCLEROSING CHOLANGITIS (PSC) Alexander Miethke 1 Cara Mack 2 Kieran Hawthorne 3 Lisa Henn 3 Pamela Valentino 4 Kathleen Loomes 5 Mary Elizabeth Tessier 6 Adina Alazraki 7 Judy Squires 8 Rohit Kohli 9 Mark Deneau 10 Estella Alonso 11 Molly Bozic 12 Amanda Ricciuto 13 Shikha Sundaram 14 Andrew Trout 15 Jonathan Dillman 15 , 1 Cincinnati Children's Hospital Medical Center, 2 Medical College of Wisconsin, 3 Arbor Research Collaborative for Health, 4 University of Washington, 5 The Children's Hospital of Philadelphia, 6 Texas Children's Liver Center - Baylor College of Medicine, 7 Children"s Healthcare of Atlanta, 8 University of Pittsburgh Medical Center, 9 Children's Hospital Los Angeles, 10 University of Utah, 11 Ann and Robert H

Dont do any strenuous exercise or heavy lifting for at least 24 hours to reduce tenderness or bruising at the injection site
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Through regular visits and personalized care, we help you: Prevent cavities and tooth decay Reduce the risk of gum disease Maintain a balanced oral environment Avoid more complex and costly treatments Our goal is to preserve your natural teeth and support long-term function and comfort