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thiopurine metabolite monitoring required Biologics (TNF- inhibitors): Infliximab (Remicade, J1745), adalimumab (Humira), certolizumab pegol (Cimzia) standard of care for moderate-to-severe CD
If fat loss is the dominant priority, we lean toward tesamorelin at full concentration
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Some fat loss occurs as a secondary benefit, but it is not the primary mechanism
For growth, the main outcome will be measured when the child is 12 months
