Abstract:and was not adversely impacted by the COVID-19 pandemic. Patients do not need to travel to central hubs, and can remain under the care of their local hepatologist maintaining continuity of care and also promoting their involvement in decision making process. However, monitoring of 6-and 12-month response after starting OCA can be challenging as it is reliant on receiving follow-up data from the referring clinician. OCA dose must be adjusted based on the stage of liver disease and presence of pruritus.
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