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MediumGastroenterologyPrimary biliary cholangitisca-mccqe1ca-rcpsc-im

A 50-year-old woman presents with new-onset fatigue, pruritus and right upper quadrant discomfort. Labs show cholestatic pattern: ALP markedly elevated, GGT elevated, AMA positive. According to Canadian hepatology practice, what is the most likely diagnosis?

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