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ModerateGastroenterologyPrimary Biliary Cholangitisus-abfmus-abimus-usmle-step-2us-usmle-step-3

A 45-year-old woman presents with fatigue, pruritus, and jaundice. Labs show elevated alkaline phosphatase and positive anti-mitochondrial antibodies. Ultrasound shows no biliary obstruction. What is the most appropriate initial pharmacologic treatment?

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