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Disclosures: Yi-Hsiang Huang: Nothing to Disclose, Ming-Han Chen: Nothing to Disclose, ChiehJu Lee: Nothing to Disclose, Wei-Sheng Chen: Nothing to Disclose, Chang-Te Chou: Nothing to Disclose 784 PREVALENCE AND CHARACTERISTICS OF HIGH-RISK FIB-4 AMONG PRIMARY CARE PATIENTS WITH PRE-DIABETES (PREDM): POTENTIAL TO IMPROVE THE CURRENT STATE OF DISEASE UNDER-RECOGNITION Max Goldman 1 Janet Chu 2 Nghiem Ha 2 Bilal Hameed 2 Mandana Khalili 2 Rena Fox 2 , 1 Kaiser Permanente, Northern California, 2 University of California, San Francisco Background: AASLD guidelines recommend that primary care (PC) patients with any risk factor for MASLD be regularly assessed with FIB-4, with further evaluation recommended for those with indeterminate- or high-risk scores