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Disclosures: Taotao Yan: Nothing to Disclose, Nicholas Chien: Nothing to Disclose, Ashley Fong: Nothing to Disclose, Vy Nguyen: Nothing to Disclose, Isaac Le: Nothing to Disclose, Annie Fung: Nothing to Disclose, Surya Teja Gudapati: Nothing to Disclose, Sally Tran: Nothing to Disclose, Angela Chau: Nothing to Disclose, Xinrong Zhang: Nothing to Disclose, Jung Eun Park: Nothing to Disclose, Ramsey Cheung: Nothing to Disclose, Changqing Zhao: Nothing to Disclose, Mingjuan Jin: Nothing to Disclose 1181 SUBOPTIMAL DIAGNOSIS RATE AND PERI-COMPLICATION DIAGNOSIS OF METABOLIC DYSFUNCTION-ASSOCIATED STEATOTIC LIVER DISEASE (MASLD) IN THE U.S.: A POPULATION-BASED STUDY Vy Nguyen 1 Scott Barnett 1 Xinrong Zhang 1 Ramsey Cheung 2 Mindie Nguyen 2 , 1 Division of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA, 2 Stanford University Medical Center Background: The incidence of MASLD is estimated to affect over half of the global adult population by 2040, yet disease awareness remains low in the U.S