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Disclosures: Ashish Bibireddy: Nothing to Disclose, Smruti Rath: Nothing to Disclose, Ishaan Dharia: Nothing to Disclose, Gene Im: KorroBio: Consultant, Echosens: Device support for research 1160 LONG-TERM VASCULAR OUTCOMES AND MORTALITY AFTER BARIATRIC SURGERY AMONG PATIENTS WITH OBESITY, TYPE 2 DIABETES, AND METABOLIC DYSFUNCTION-ASSOCIATED STEATOTIC LIVER DISEASE Arunkumar Krishnan 1 Diptasree Mukherjee 2 Carolin Schneider 3 Tinsay Woreta 4 Saleh Alqahtani 5 , 1 Atrium Health Levine Cancer, 2 Apex Institute of Medical Sciences, Kolkata, WB, India, 3 RWTH Aachen University, Aachen, Germany, 4 Johns Hopkins University School of Medicine, 5 Johns Hopkins University Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) and type 2 diabetes (T2D) frequently coexist and synergistically increase the risk of adverse clinical outcomes