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Disclosures: Jessica Mellinger: GlaxoSmithKline: Advisor, Tingting Liu: Nothing to Disclose, Haila Asefa: Nothing to Disclose, Patricia Bloom: Vedanta Biosciences: Research grant, Nexilico: Consultant, Sal Giorgi: Nothing to Disclose, Brenda Curtis: Nothing to Disclose 2219 DISTRIBUTION OF ORGANISMS IN PATIENTS WITH SPONTANEOUS BACTERIAL PERITONITIS: A VETERAN'S HEALTH COHORT STUDY Nadim Mahmud 1 Natalia Salinas Parra 2 Aaron Hecht 3 David Kaplan 3 Marina Serper 4 , 1 Hospital of the University of Pennsylvania, 2 Hospital of the University of Pennyslvania, 3 University of Pennsylvania, 4 University of Pennsylvania Health System Background: Spontaneous bacterial peritonitis (SBP) is a common complication of decompensated cirrhosis with a high mortality rate

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Steps may include: starting alcohol addiction treatment taking medications to control withdrawal symptoms changing the date of surgery (if its safe to do so) making adjustments to anesthesia and other medications Discussions about alcohol use will be kept confidential with your doctor

Outdated Information and Misinformation: Many healthcare providers, while well-intentioned, are operating with a simplified or outdated understanding of B12 metabolism and the needs of Pernicious Anemia patients

Loss of ATP7B leads to elevated PrP expression in hepatic cells Although the Cu-dependent properties/functions of PrP were discovered more than two decades ago 16,26,27,28 , its role in WD has been neglected due to its low expression in the liver 36,37