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Regulatory authorities have not yet established recommendations for a single measurement of disease activity.

Routine complete blood cell (CBC) counts with differentials and platelet counts are checked monthly, and liver function tests (LFTs) can be performed intermittently.

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Efficacy and tolerability of oral budesonide in Japanese patients with active Crohn's disease: A multicentre, double-blind, randomized, parallel-group Phase II study.

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Management: Concurrent use of enzalutamide with CYP2C19 substrates that have a narrow therapeutic index should be avoided.

Crohn disease is a chronic inflammatory condition that causes ongoing inflammation of the intestinal tract from the mouth to the rectum.

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Steroids are not recommended for maintenance because of both lack of long-term efficacy and the risk of side effects, whereas azathioprine or 6-MP may be used in patients for whom 5-ASA therapy is not sufficient.

Hypoalbuminemia may reflect malnutrition because of poor oral intake or because of protein-losing enteropathy that can coexist with active IBD.

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Preliminary research suggests that N-acetyl glucosamine supplements or enemas may improve symptoms of inflammatory bowel disease, but more studies are needed to determine whether glucosamine would have any effect on Crohn disease.

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Even with less than total colonic involvement, the disease is strikingly and uniformly continuous.

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Emerging research on pineapple suggests that pineapple's “active” component, bromelain, may help relieve the inflammation associated with UC.

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Imaging recommendations for patients with newly suspected Crohn's disease, and in patients with known Crohn's disease and acute exacerbation or suspected complications.

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Different probiotic species and genuses may have different immunological and physiological effects in different disease states.

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Although steroids are effective in quickly inducing remission, a number of patients are unable to reduce their steroids without a worsening of their symptoms, and essentially become steroid-dependent.

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TThere is no data that I am aware of that has linked the mechanisms (or “chemistry”) of inflammatory bowel disease to causing depression.

The use of APRISO for treating ulcerative colitis beyond 6 months has not been evaluated in controlled clinical trials.

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Lynch, DNP, APRN, FNP is a family nurse practitioner in the department of Gastroenterology and Hepatology at the University of Utah School of Medicine.

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