cholestasis of pregnancy

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Just came back from my 20 weeks appointment (I am 20 weeks and 6 days today) and the doctor told me that the blood test they took at the 16 weeks appointment showed positive for cholestasis of pregnancy. He was really shocked since it’s the first time In His career he sees it that early. Normally it’s not until the late second trimester or third trimester they see it (if it happens at all that is)

Has this happened to anyone else here and do you have any advice???