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After completion of the reaction, the pH was adjusted to pH = 2-3 with citric acid solution (pH = 2)

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Disclosures: Kathryn del Valle: Nothing to Disclose, Dana Kay: Nothing to Disclose, Michael Krowka: Nothing to Disclose, James Runo: Nothing to Disclose, Corey Sadd: Nothing to Disclose, Julie Heimbach: Nothing to Disclose, Rodrigo Cartin-Ceba: Nothing to Disclose, Hector Cajigas: Nothing to Disclose, Charles Burger: INSMED: Consultant, GossamerBio: Consultant, Janssen: Consultant, John Moss: Nothing to Disclose, Hilary DuBrock: Nothing to Disclose 1309 SERUM AND URINARY METABOLOMICS ARE ASSOCIATED WITH THE DEVELOPMENT OF DE NOVO METABOLIC SYNDROME AFTER LIVER TRANSPLANT: A MULTI-CENTER LONGITUDINAL STUDY Jasmohan Bajaj 1 Isobel Jane Cox 2 Mette Munk Lauridsen 1 Adrien Le Guennec 3 Andrew Fagan 4 Geena George 5 Amy Bartels 1 Thresiamma Lukose 5 Elizabeth Verna 5 , 1 Virginia Commonwealth University, 2 Roger Williams Institute for Hepatology, 3 Kings College London, 4 Richmond VA Medical Center, 5 Columbia University Medical Center Background: Liver transplantation (LT) is associated with development of de novo metabolic syndrome (MetS) and adverse cardiovascular events over time

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