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Disclosures: Giuseppe Cullaro: Ocelot Bio: Consultant, Retro Sciences: Consultant, Kavish Patidar: Nothing to Disclose, Andrew Allegretti: Nothing to Disclose, Elizabeth Verna: Salix: Grant/Research Support, Jennifer Lai: Nestle Nutrition Institute: Grant/Research Support, Novo Nordisk: Consultant, Genfit: Consultant, Boehringer Ingelheim: Advisor 939 SOCIAL DETERMINANTS OF HEALTH AND METABOLIC DYSFUNCTION-ASSOCIATED STEATOTIC LIVER DISEASE IN CHILDREN WITH OVERWEIGHT OR OBESITY Ananya Venkatesh 1 Nhat Thai 1 Patricia Ugalde Nicalo 1 Kimberly Newton 1 Cynthia Behling 2 Romeo Ignacio 1 Laura Bauman 1 Martha Smith 1 Jeffrey Schwimmer 1 , 1 University of California, San Diego, 2 Pacific Rim Pathology Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common pediatric liver disease