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[15] CHO S G, LEE Y H, PARK H S, et al

Scott said the B12 shot is "a beautiful pink liquid that makes you think it would help." Students and athletes often come to her asking about B12 shots

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Particularly Alkaline Phosphatase Atypical P-ANCA (Perinuclear Antineutrophil Cytoplasmic Antibody) Always Check CA 19-9 for CA Always Check IgG4 Immediate Colonoscopy on Dx to Evaluate for IBD Treatment Temporary/Sx Relief: Ursodeoxycholic Acid (UDCA) If Dominant Extrahepatic Strictures: Consider ERCP & Stent Other Potential Medical Options: Cyclosporine, Methotrexate, Azathioprine or ABX Avoid: Generally Avoid Choledochojejunostomy as TXP is Preferred No Benefit: Cholestyramine or Colchicine Definitive Tx: Liver TXP Cancer Screening After Diagnosis Abdominal US or MRI/MRCP Every 6-12 Months CA 19-9 Every 1 Year Colonoscopy at Diagnosis & Every 1-2 Years PSC with Beaded Bile Ducts on MRCP 1 IgG4-Associated Cholangitis Basics Most Frequent Extra-Pancreatic Manifestation of Autoimmune Pancreatitis Rarely Occurs in Absence of Pancreatitis Possibly Manifestation of Same Disease as PSC Treatment Tx: Steroids References Worthington J, Chapman R