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This is probably the correct answer for every one except perhaps those who had a major reaction to something via other tests which is of course, rare.

I get mouth ulcers and have oral thrush right now. I'm still convinced I have fungal in small bowel causing all this. I'm off all meds and going to ask doctor to go for anti fungal medication, will see if I improve.

Regarding this part: If you can match changes in fungi populatons with a flare Could you not do the opposite and give medication to treat the fungi or bacteria to see if there is a faster improvement in the flares than a control group who do not take it. We can see prednisone improves flares...

True my argument was more that instead of a month of pred you do a month of EN then are given a maintenance drug. If patients lose discipline then i guess prednisone it shall be but they don't seem to even offer EN to most people. I would easily prefer EN over prednisone for a month then...

Well as you said previous, Crohn's is a catch all term these days and so people with Crohn's might have totally different things going on. So antibiotics works for some because maybe MAP isn't the only possible culprit depending on the type of manifestation you get. Farmers often pass farms on...

Not willing because old habits die hard or what? I did it before when i had food poisoning, when your unwell enough 2 weeks is nothing lol By the way what's your view on the MAP bacteria ? You mention its hard to identify which bacteria could be the problem in the gut biome due to how complex...

If EN is so effective why are adults given prednisone? And if its due to tolerating, why don't they develop better tasting varieties. Seems like a no brainer but instead everyone is given prednisone risking more side effects and further problems. Feels a bit lazy to go immediately for prednisone.

Well type I in adults is very different from type II in adults too. So thats not saying a lot.

Is diabetes different in children to adults? Thought it was the same for both.

Why is pediatric Crohn's talked about like its a totally different disease to what adults have? It's strange that they seperate the two conditions so much.

Interesting they have it for kids but not adults. The technique seems far more convenient for most patients.

I've had regular ultrasounds for IBD though i've also been told they don't really show anything. Yet i've been searching around and found something called a CEUS (contrast enhanced ultra sound) which is just as accurate as an MRI but is far lower in risk and very quick. Yet i can't find any...

Can't biopsy also help detect previous inflammation episodes even if none is currently present?

Rinvoq I think is new and is tablet rather than injection form so long term could be great for patients. But it's so new I would hard avoid for that reason alone we really have no idea what the long term effects of it are. New meds on the market should be absolute last resort since their...

I did some digging and found the data: Results In the validation cohort, the microbiome risk score (MRS) model yielded a hazard ratio of 2.24 (95% confidence interval, 1.03-4.84; P = .04), using the median of the MRS from the discovery cohort as the threshold. The MRS demonstrated a temporal...

Interesting, thanks for the information 😊

Am I blind or did the article not mention which bacteria have been identified as possible problem combinations?

Doesn't biologics also provide lymphoma risks?

As per the title, do these medications typically have better safety profiles compared to biologics when it comes to side effects etc? Trying to decide what i should choose for maintenance once i get into remission, to be honest none seem like a good choice given the side effects lol. I prefer...

Is there much strong evidence regarding over sterilised environments so we are less exposed to bacteria to make our gut more resilient. I recall reading crohn's disease rates increase as developing nations increased in hygiene standards directly related to education and wealth. But never saw...