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Indications include: Medically refractory disease not responding to optimized biologic therapy Bowel obstruction from fibrostenotic stricture Intra-abdominal abscess not amenable to percutaneous drainage Complex perianal fistula (seton placement, diversion) Enterocutaneous or enterovesical fistula Dysplasia or cancer in Crohns colitis Free perforation (rare) Nutritional Therapy Exclusive enteral nutrition (EEN) effective for induction in pediatric Crohns

Patients following bariatric surgery, GI disease, or with malabsorption syndromes

Warnings & Precautions: Black box warning: Risk of thyroid C-cell tumors observed in rodents

These are the four categories where we see reliable before and after results in our Doral patients

Most patients begin noticing results after 4 to 6 injections