& Sugiyama, H
Combines fluids, electrolytes, vitamins, and antioxidants to reduce fatigue, enhance skin health, and promote overall wellness
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
The waist measurement in centimeters often shows the most clinically meaningful change at this stage because visceral fat reduction affects waist circumference more directly than it affects overall body weight
Therefore, there is a physiological basis for using the plasma BDNF as a functional surrogate for brain omega-3 FA levels, unlike the erythrocyte omega-3 FA levels, which are metabolically unrelated to the brain levels
Helps prevent anemia : B12 is essential for red blood cell production, reducing the risk of fatigue caused by anemia