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The conversion wave itself was clustered in the first decade: California in 1996, Virginia and New York in 2002, Georgia, Missouri, Wisconsin, Maine in the years after

no associations in UC No consistent relationship between BMI and disease complications in CD But in UC there was associated increased risk of needed steroids and hospitalisation, but no impact on surgery California study showed no associated between BMI on hospitalisation or surgery or serious infection (Gu P Am J Gastro 2022) How does obesity impact IBD therapy

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Physicians are expected to follow established screening guidelines, order appropriate diagnostic tests, and refer patients to specialists when warranted

Side effects should be discussed with your healthcare provider, and regular monitoring is essential

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