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Disclosures: Bilal Fazal Mehmood: Nothing to Disclose, Katherine Jones: Nothing to Disclose, Ernesto Rodriguez: Nothing to Disclose, Shabnam Pooya: Nothing to Disclose, Serhat Asci: Nothing to Disclose, Srinivasa Konduru: Nothing to Disclose, Lisa Herzig: Nothing to Disclose, Marina Roytman: Nothing to Disclose 894 ALANINE AMINOTRANSFERASE FLARES DURING PREGNANCY OR POSTPARTUM PREDICT INCREASED HBEAG SEROCLEARANCE IN HIGHLY VIREMIC HBV-INFECTED WOMEN Wan-Hsin Wen 1 Chun Jen Liu 2 Ming-Wei Lai 3 Ming-Chieh Tsai 4 Shu-Chi Mu 5 Kuang- Chun Hu 6 Rong-Nan Chien 3 Chien-Nan Lee 2 Huey-Ling Chen 7 Mei-Hwei Chang 7 , 1 Cardinal Tien Hospital, 2 National Taiwan University Hospital, 3 Linkou Chang Gung Memorial Hospital, 4 Hsinchu Cathay General Hospital, 5 Shin Kong Wu Ho-Su Memorial Hospital, 6 MacKay Memorial Hospital, 7 National Taiwan University Background: Since 2020, WHO has recommended that HBV-infected pregnant women with an HBV DNA 200,000 IU/mL receive antiviral prophylaxis during pregnancy to prevent mother-to-child transmission, a key step toward global hepatitis elimination

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For ongoing daily maintenance, oral or sublingual methylcobalamin is effective for most people