Liquid diet ( exclusive enteral nutrition -EEN) can be used to reduce inflammation similar to steriods . Some kids use EEN at dx while starting maintenance meds ( immunosuppressants and/or biologics ) The EEN is used for 6-8 weeks while the immunosuppressants or biologics are building up in their systems .
Other kids use steriods and start maintence meds at the same time .
And still others use both EEN /steriods at once plus immunosuppressants and/or biologics
Most start at dx once approved by insurance .
Some have to wait a week or two for blood work to start 6-mp/Aza so they might start EEN /steriods while they wait .
Typically after the meds kick in 6/8 weeks the kids go back to a normal diet with partial en as a supplement to help with nutrition and growth