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Disclosures: Alaa Abdelghani: Nothing to Disclose, Addison Cuneo: Nothing to Disclose, Elizabeth Gibb: Nothing to Disclose, Emily Perito: Mirum: Consultant, Ultragenyx: Consultant, BridgeBio: Consultant, Amagma: Consultant, Mirum: Grant/Research Support, Albireo: Grant/Research Support, Gilead: Grant/Research Support, Dicerna: Grant/Research Support 2463 AMBIENT AIR POLLUTION EXPOSURE IS ASSOCIATED WITH ADVANCED LIVER STIFFNESS AMONG LATINO YOUTH WITH PREEXISTING RISK FACTORS FOR LIVER DAMAGE Rachel Schenker 1 Rohit Kohli 1 Tanya Alderete 2 William Patterson 2 Christopher Machle 1 Fred Lurmann 3 Michael Goran 1 , 1 Children's Hospital Los Angeles, 2 University of Colorado, 3 Sonoma Technology Background: Ambient air pollutants have emerged as risk factors for metabolic dysfunction associated steatotic liver disease (MASLD)