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Disclosures: haniya waseem: Nothing to Disclose, adnan muhammad: Nothing to Disclose, Georolyn Torkelson: Nothing to Disclose 1233 EVOLVING PATTERNS OF POTENTIALLY HEPATOTOXIC BOTANICAL USE IN THE UNITED STATES: RESULTS FROM NHANES 2003 - 2018 SURVEYS Alisa Likhitsup 1 Vincent Chen 2 Robert Fontana 3 , 1 University of Michigan, 2 University of Michigan Medical Center, 3 University of Michigan Hospitals and Health Centers Background: Green tea extract (GTE) can cause clinically significant liver injury and turmeric hepatotoxicity is also increasing in the US (Am J Med 2023: 136: 200)