Gastroenterology   

Would you anticipate a different side effect profile from a different GLP-1 agonist?

How would you approach counseling the patient in this situation?

Is there a way to determine a safe time period that allows a patient to fulfill their religious obligations or do you just recommend against fasting?

Specifically in patients with low resources, poor follow-up, and currently not on biologic therapy. What is the duration of antibiotics?

Either low fiber or high fiber, or other? Or probiotics?

There seems to be little guidance on vitamin replacement in these patients. Vitamin K level < 50 yet PT/INR is normal. Is the vitamin K assay usefu...

Do any special adjustments need to be made for any particular biologic therapies?

Do you avoid using these agents only in patients with history of medullary thyroid cancer or pancreatic cancer? Are there other cancer risks we should...

How do you practically approach a tailored elimination diet in young patients with numerous food impactions and esophageal strictures who are intermit...

Do you discontinue the use of certain medications that have been associated with microscopic colitis (ie, PPIs, SSRIs)?

How do you counsel patients in this scenario? 

I have a patient with recently diagnosed primary biliary cholangitis/cirrhosis (PBC) with SSc. Her laboratory values are within normal limits, but end...

How has this impacted your counseling and management?

Would you start with a baseline ultrasound and then pursue further workup such as fibroscan if fatty liver is present, or other?

(Patient with active RA despite hydroxychloroquine)

 Should they be placed on routine EGD surveillance and if yes at what intervals?

When it seems fairly certain that this is a drug effect is it something that can just be monitored or requires a change in approach?

If so, what agent(s) do you prefer?

Would you offer low dose or standard dose aspirin instead?

This question is part of a collaboration with RheumMadness and is specifically in reference to: ADIRA Diet