Professor In Residence
M_MED-CORE-GAST-GEN
Research Area
+1 415 502-2656
My clinical focus is on women with liver disease, including pregnancy-related liver conditions and reproductive health. My research program is focused on the role of sex hormones in modulating liver disease in women. I have a specific research interest in young women with the hyperandrogenic condition known as Polycystic Ovarian Syndrome given their high risk for developing Non Alcoholic Fatty Liver Disease (NAFLD) and early onset liver scarring. Within the transplant setting my focus is reproductive health, including pregnancy and contraceptive management in transplant recipients.
Publications
Epidemiologic Trends in Acute, Chronic, and Pregnancy-Specific Liver Diseases in Pregnancy.
The American journal of gastroenterology
Metabolic dysfunction-associated steatotic liver disease and pregnancy.
The Journal of clinical investigation
Sa1525: EPIDEMIOLOGIC TRENDS IN ACUTE, CHRONIC, AND PREGNANCY-SPECIFIC LIVER DISEASES DURING PREGNANCY.
Gastroenterology
Pregnancy After Solid Organ Transplantation: Review of the Evidence and Recommendations.
Transplantation
Safety of a trial of labor after cesarean in kidney and liver transplant recipients: A multicenter cohort study.
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Outcomes in Female Patients with Chronic Liver Disease Undergoing Infertility Treatment.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
Family Planning Counseling and Practices in Kidney Transplant Recipients.
Clinical transplantation
Clinical outcomes in patients with unintended pregnancy after liver transplantation: A multicenter registry cohort study.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Contraception in patients with liver disease and liver transplant.
Clinical liver disease
How I Approach Hepatocellular Adenomas in Hormonally Distinct Populations: Time to Think Outside the (Contraceptive Pill) Box.
The American journal of gastroenterology
Introduction: Pregnancy and liver disease.
Clinical liver disease
Anti-Mullerian Hormone, a Marker of Ovarian Reserve, Is Protective Against Presence and Severity of NASH in Premenopausal Women.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
Parental leave, childcare policies, and workplace bias for hepatology professionals: A national survey.
Hepatology communications
Family planning and donor type: Unrecognized benefits of living donor liver transplantation?
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Sex differences in chronic liver disease and benign liver lesions.
JHEP reports : innovation in hepatology
Mo1530 OUTCOMES IN WOMEN WITH CHRONIC LIVER DISEASE UNDERGOING INFERTILITY TREATMENT.
Gastroenterology
Sa1609 POLYCYSTIC OVARY SYNDROME INCREASES FIBROSIS SEVERITY IN YOUNG WOMEN WITH NAFLD.
Gastroenterology
Prevalence of nonalcoholic fatty liver disease increased with type 2 diabetes mellitus in overweight/obese youth with polycystic ovary syndrome.
Journal of pediatric endocrinology & metabolism : JPEM
Reproductive health and liver disease: a patient-friendly summary of the 2021 AASLD guidance.
Clinical liver disease
Letter to Editor: Influence of maternal NAFLD on infant weight-the real precursor to NAFLD in offspring?
Hepatology (Baltimore, Md.)
The key role of hepatology providers in optimizing reproductive care in patients with liver disease: a call to action.
Hepatology (Baltimore, Md.)
Influence of progestin-only hormonal use on hepatocellular adenomas: A retrospective cohort study.
Contraception
Now you see it, now you don't: Estrogen exposure and obesity effects on HCA development and regression.
Hepatology (Baltimore, Md.)
Awarding additional MELD points to the shortest waitlist candidates improves sex disparity in access to liver transplant in the United States.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Polycystic ovary syndrome is associated with nonalcoholic steatohepatitis in women of reproductive age.
Hepatology communications
Pregnancy Is Not Associated with an Increased Risk of Decompensation, Transplant, or Death in Compensated Cirrhosis.
International journal of hepatology
Reply to HEP-22-0894.
Hepatology (Baltimore, Md.)
On the Importance of Safe Access to Reproductive Options for Adolescents and Women with Liver Disease.
Gastroenterology
Su1406: POLCYSTIC OVARY SYNDROME (PCOS) INCREASES RISK OF NASH AMONG REPRODUCTIVE-AGED WOMEN WITH NAFLD: A US POPULATION-BASED STUDY.
Gastroenterology
Associations of NAFLD with circulating ceramides and impaired glycemia.
Diabetes research and clinical practice
Pregnancies With Cirrhosis Are Rising and Associated With Adverse Maternal and Perinatal Outcomes.
The American journal of gastroenterology
Outcomes of pregnancy in autoimmune hepatitis: A population-based study.
Hepatology (Baltimore, Md.)
Untangling the Influence of Sex Hormones on Nonalcoholic Fatty Liver Disease in Women.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
Pregnancy Outcomes After Living Liver Donation: A Multi-Institutional Study.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Relevance of reproductive health to comprehensive hepatology care.
The lancet. Gastroenterology & hepatology
Adherence to pregnancy hepatitis B care guidelines in women and infants in the United States and evaluation of two interventions to improve care: A multicentre hospital-based study.
Journal of viral hepatitis
NAFLD Cirrhosis Is Rising Among Childbearing Women and Is the Most Common Cause of Cirrhosis in Pregnancy.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
Reproductive Health and Liver Disease: Practice Guidance by the American Association for the Study of Liver Diseases.
Hepatology (Baltimore, Md.)
Reply to: "Intrahepatic cholestasis of pregnancy: An under recognised complication of maternal NAFLD?"
Journal of hepatology
Testosterone is Associated With Nonalcoholic Steatohepatitis and Fibrosis in Premenopausal Women With NAFLD.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
Family Planning in Liver Transplant: Patient and Provider Knowledge and Practices.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Outcomes of Pregnant Women With Cirrhosis and Their Infants in a Population-Based Study.
Gastroenterology
SAT147 Increased risk of perinatal complications in women with cirrhosis: a population-based matched cohort study.
Journal of hepatology
Reproductive Health and Nonalcoholic Fatty Liver Disease in Women: Considerations Across the Reproductive Lifespan.
Clinical liver disease
Non-alcoholic fatty liver disease in pregnancy is associated with adverse maternal and perinatal outcomes.
Journal of hepatology
Pregnancy in Liver Transplantation.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
1004 PREGNANCIES WITH CIRRHOSIS ARE RISING AND ASSOCIATED WITH ADVERSE MATERNAL AND FETAL OUTCOMES.
Gastroenterology
Shorter Height Is Associated With Lower Probability of Liver Transplantation in Patients With Hepatocellular Carcinoma.
Transplantation
Low Testosterone Is Associated With Nonalcoholic Steatohepatitis and Fibrosis Severity in Men.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
NAFLD in women: Unique pathways, biomarkers and therapeutic opportunities.
Current hepatology reports
Polycystic ovary syndrome (PCOS) is associated with NASH severity and advanced fibrosis.
Liver international : official journal of the International Association for the Study of the Liver
Deficiencies in Reproductive Health Counseling in Liver Transplant Patients [2H].
Obstetrics and gynecology
Sa1623 – Low Testosterone is Associated with Nash and Fibrosis Severity in Men with Nafld.
Gastroenterology
Sex Hormone-Binding Globulin Levels in Young Men Are Associated With Nonalcoholic Fatty Liver Disease in Midlife.
The American journal of gastroenterology
Testosterone Levels in Women: Implications for Fatty Liver and Beyond.
Journal of women's health (2002)
Noninvasive Tests for Prognosticating Outcomes in Patients With Chronic Liver Disease in Pregnancy: Ready for Prime Time?
The American journal of gastroenterology
Sex hormone levels by presence and severity of cirrhosis in women with chronic hepatitis C virus infection.
Journal of viral hepatitis
Longer lactation duration is associated with decreased prevalence of non-alcoholic fatty liver disease in women.
Journal of hepatology
Chronic Hepatitis B in Pregnancy.
Clinical liver disease
Racial and Ethnic Differences in Graft Loss Among Female Liver Transplant Recipients.
Transplantation proceedings
Reproductive health in women following abdominal organ transplant.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
The Association of Hispanic Ethnicity with Nonalcoholic Fatty Liver Disease in Polycystic Ovary Syndrome.
Current opinion in gynecology and obstetrics
Use of a hepatitis C virus (HCV) RNA-positive donor in a treated HCV RNA-negative liver transplant recipient.
Transplant infectious disease : an official journal of the Transplantation Society
Sex-based disparities in delisting for being "too sick" for liver transplantation.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Acetaminophen-induced Acute Liver Failure Is More Common and More Severe in Women.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
Moderate Alcohol Use Is Not Associated With Fibrosis Progression in Human Immunodeficiency Virus/Hepatitis C Virus-Coinfected Women: A Prospective Cohort Study.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
Perinatal programming of adolescent nonalcoholic fatty liver disease: A case for gender inequality?
Hepatology (Baltimore, Md.)
Reproductive Aging and Hepatic Fibrosis Progression in Human Immunodeficiency Virus/Hepatitis C Virus-Coinfected Women.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
Testosterone Levels in Pre-Menopausal Women are Associated With Nonalcoholic Fatty Liver Disease in Midlife.
The American journal of gastroenterology
Aggressive non-alcoholic steatohepatitis following rapid weight loss and/or malnutrition.
Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
Sex differences in the association of HIV infection with hepatic steatosis.
AIDS (London, England)
Increased hepatocellular carcinoma recurrence in women compared to men with high alpha fetoprotein at liver transplant.
Annals of hepatology
Association of Hepatitis C Virus Infection With CD4/CD8 Ratio in HIV-Positive Women.
Journal of acquired immune deficiency syndromes (1999)
Marijuana Use Is Not Associated With Progression to Advanced Liver Fibrosis in HIV/Hepatitis C Virus-coinfected Women.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
352 Sex Differences in Acetaminophen-Induced Acute Liver Injury and Acute Liver Failure.
Gastroenterology
Association between markers of non-alcoholic fatty liver disease and glucose tolerance in polycystic ovarian syndrome population.
Fertility and sterility
Intention to treat outcome of T1 hepatocellular carcinoma with the "wait and not ablate" approach until meeting T2 criteria for liver transplant listing.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
PS073 Light to Moderate Alcohol Use is not Associated with Long-Term Progression of Liver Fibrosis in Hiv Hcv Coinfected Women.
Journal of hepatology
PS077 Sex Differences in Acetaminophen-Induced Acute Liver Injury and Acute Liver Failure.
Journal of hepatology
Association of IFNL3 and IFNL4 polymorphisms with liver-related mortality in a multiracial cohort of HIV/HCV-coinfected women.
Journal of viral hepatitis
Outcomes in liver transplantation: does sex matter?
Journal of hepatology
Ending vertical transmission of hepatitis B: the third trimester intervention.
Hepatology (Baltimore, Md.)
Characteristics and management of patients with chronic hepatitis B in an integrated care setting.
Digestive diseases and sciences
Factors associated with outcomes and response to therapy in patients with infiltrative hepatocellular carcinoma.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
Racial/ethnic differences in spontaneous HCV clearance in HIV infected and uninfected women.
Digestive diseases and sciences
Lower liver-related death in African-American women with human immunodeficiency virus/hepatitis C virus coinfection, compared to Caucasian and Hispanic women.
Hepatology (Baltimore, Md.)
466 Hepatitis B Treatment in a California Managed Care Population: A Retrospective Analysis of Treatment and Monitoring Practices.
Gastroenterology
Hepatocellular carcinoma screening practices and impact on survival among hepatitis B-infected Asian Americans.
Journal of viral hepatitis
Chapter 32 Hepatitis virus infections.
Sande\u0027s HIV/AIDS Medicine
Proton-pump inhibitor use and the risk for community-acquired pneumonia.
Annals of internal medicine
Chronic statin therapy and the risk of colorectal cancer.
Pharmacoepidemiology and drug safety
Presentation and management of acute fistulization of a foregut duplication cyst.
Gastrointestinal endoscopy