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Agrochemical-derived endocrine-disrupting compounds (EDCs) can affect both thyroid and gonadal hormone axes, leading to significant impairments in metamorphosis, sex differentiation, and reproductive capacity (e.g., observations of sex change and intersex phenotypes with herbicides such as atrazine) (Hayes et al., 2006

4582-C THE PRESENCE OF FATTY LIVER IS ASSOCIATED WITH HIGHER TREATMENT RESPONSE IN PATIENTS WITH PRIMARY BILIARY CHOLANGITIS Leandro Sierra 1 , Romelia Barba Bernal 1 , Ana Marenco-Flores 1 , Bryan Ferrigno 2 , Daniela Goyes 3 , Wilfor Diaz Fernandez 2 , John Esli Medina Morales 4 , Alan Bonder 1 , Vilas Patwardhan 1 and ALD team, (1)Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, (2)Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, (3)Yale University Medical Center, New Haven, CT, United States, (4)Rutgers New Jersey Medical School, Kearny, NJ Background: Primary biliary cholangitis (PBC) is an autoimmune, chronic cholestatic liver disease involving bile ducts

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