🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

I am thrilled and honored to share The Experience Gained from training in Africa at #DDW2025 in Sandiego. Kindly join me on the 4th of May 17.03 - 17.18 Room: 6A

Went to a 🌟 talk by 👸🏾Hanna Aberra (MD,PhD) on her development of the 1st #GIFellowship in Rwanda as a PD developing the next generation of African trained GIs to fill an enormous unmet need. This 👩🏾‍⚕️is inspiring! Rwanda now has several home grown GIs! 👏 #AGAGastroSquad American Gastroenterological Association (AGA)

Amazing year with the MilestoneIBD class of 2025! Congratulations to the future of #IBD. Thank you to all our faculty and sponsors. Onwards and upwards. Christina Ha MD Meena Bewtra Benjamin Cohen MD MAS Miguel Regueiro Nathaniel A. Cohen Carrie Bristor Manuel Braga Neto MD, PhD Joseph Sleiman, MD, FACP Idan Goren

If you're a fellow considering IBD, or if you are a GI PD with trainees or APPs, there is absolutely no better program than MilestoneIBD: it both teaches & establishes lifelong connections. Fellow & APP application open! Also, kudos to Florian Rieder amazing group-selfie skills!

#PreB2B #IBDPoll1️⃣ 🆓#CME👉🏽bit.ly/AnemiaPre 29F #Crohns ileocolitis presents w fatigue. Lab: Hb 10.2 g/dL, Ferritin 75 ng/mL, Transferrin Saturation: 8%, B12 350, CRP 15 mg/dL Which of the following is the most likely cause of her #anemia?

#PreB2B #IBDPoll2️⃣ 🆓#CME👉🏽bit.ly/AnemiaPre 🔦CLN of the pt reveals active mucosal inflammation in ileum + right colon. In addition to starting effective therapy for her Crohns, What is the most appropriate next step in the management of this patient’s #anemia?

#MondayNightIBD 1/ 🧪Let's review #Anemia in #IBD #MondayNightIBD #Back2Basics 🧵 ✅Prevalence (you will be 😲) ✅Causes ✅Symptoms ✅Health outcomes ✅Work-up: IDA vs ACD ✅Management of IDA Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation 2/ 🔹Prevalence: #Anemia is one of the most common extra-intestinal complication in #IBD ⚠️Up to 9️⃣0️⃣% patients! CD>UC, Common presentation in children 🧪Hb <13g/dL 🚹, < 12g/dL🚺, <11g/DL🤰 ⚠️Underdiagnosed & Undertreated #MondayNightIBD #Back2Basics

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD 3/ Causes of Anemia in IBD 🔹IDA & ACD are most common, often overlap 🔹MOAs: Chronic🩸loss, malabsorption,⬇️erythropoiesis, Fe sequestration ⚠️ IDA correlates w/IBD🔥 🔹Check B12 & B9 deficiencies 🔹Do not forget folate Supp. with SSZ & MTX #MNIBD #Back2Basics #GITwitter

Congratulations to Dr. Katie Katie Dunleavy on receiving the Barbara Bush Distinguished Fellowship Award, presented by GIH consultant Dr. Jean Fox! 🌟 Honoring her outstanding professional excellence and humanitarian values. #Leadership #GITwitter

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Aimen Farooq Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD 4/ 🔹Symptoms of Anemia ⚠️May be vague: stay vigilant! ⚠️Non-anemic Iron Deficiency (NAID)➡️ Symptoms too 🔹Difficult to distinguish symptoms related to anemia vs active IBD 🔹Symptoms of iron def , B12 def 👇📷 #MNIBD #Back2Basics #GITwitter

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Aimen Farooq Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc 5/🔹Negative outcomes of #Anemia in #IBD ⬇️QoL ⬆️ Healthcare utilization ⬆️🏥, ⬆️ LOS ⬆️ ER/GI/PCP visits ⬆️Post-op complications (sepsis, re✂️) & mortality ⬆️💰 #MondayNightIBD #Back2Basics

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Aimen Farooq Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD 6/ ⚠️ Screen regularly 🔍 for anemia b/o ⬆️ prevalence & impact on QoL 🔹IDA: 🧪 CBC, Ferritin, TSAT/FeSat 🗓️ Active disease ➡️ q3 months 🗓️ Remission/mild ➡️ q6-12 months 🔹B12 def: qyear if ileal dis/resection #MNIBD #Back2Basics #GITwitter

Arooj Mian #MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD Amanda Johnson, MD Meena Bewtra Nisha Loganantharaj Lumír Kunovský Keith Siau Hannah Fiske Goodrich, MD 7/ 🔹Differentiate IDA vs ACD (📷👇) ⚠️Remember Ferritin increases during IBD🔥 🔹IDA in IBD: if Ferritin <30 ug/L & no inflam or <100 if 🔥 🧪 Ferritin >100 & TSAT <20% ➡️ACD 🧪 Ferritin 30-100 & TSAT <20% ➡️ IDA + ACD #MondayNightIBD #Back2Basics

Arooj Mian #MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD Amanda Johnson, MD Meena Bewtra Nisha Loganantharaj Lumír Kunovský 8/ Management of #Anemia 🔎Screen➡️Treat➡️Follow-up 🎯Restore Hb & Fe stores to nml ⚠️Hb< 8g/dL+ symptoms➡️transfuse blood 🔥Active disease➡️ impaired absorption: IV Iron ✅ not PO #MNIBD #Back2Basics #GITwitter IBDJournal & CC360 Jason Hou

Arooj Mian #MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD Amanda Johnson, MD Meena Bewtra Nisha Loganantharaj Lumír Kunovský IBDJournal & CC360 Journal of Crohn's and Colitis 9/ How to use 🔹PO Fe 💊⬆️ hepcidin response x 24h & ⬇️ by 48h 💊 60-120 mg Fe x 1 every other day to ⬆️ absorption & ⬇️ AE 💎+Vit C :⬆️Fe absorption 🔹IV iron/Formulations 📷👇 ⚠️ In🏥experienced w/ managing infusion rxn w 💉Antihistamines, steroids ready #MondayNightIBD

Arooj Mian #MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD Amanda Johnson, MD Meena Bewtra Nisha Loganantharaj Lumír Kunovský IBDJournal & CC360 Journal of Crohn's and Colitis 10/🔹Encourage patients to incorporate Fe rich foods in their diet. 🔹Pair with Vit C for⬆️absorption More choices: Tofu, sardines, canned & stewed 🍅, beans (white 🫘, lentils, kidney🫘, chickpeas), oysters #MondayNightIBD #Back2Basics #GITwitter

Arooj Mian #MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD Amanda Johnson, MD Meena Bewtra Nisha Loganantharaj Lumír Kunovský IBDJournal & CC360 Journal of Crohn's and Colitis 11/ Summary 🔹Anemia is multifactorial in IBD ❗️Prevalence of IDA is high & underdx ☹️Causes symptoms, poor QOL & poor IBD outcomes ➡️ Screen periodically & treat ⚖️IV vs PO iron should be individualized 🥩🫘Supplement w/ Fe + Vit C rich diet #MondayNightIBD #Back2Basics

#MondayNightIBD join the convo now ! led by Jason Hou Aline Charabaty, MD, FACG, AGAF 🎯When/How do you evaluate/treat or reassure a patient w #IBD & #anemia? 🗳️#IBDPoll👇🏽 & share your 💬 & expertise w us! 🆓#CME👉🏽 bit.ly/MNIBD24-25 Support by edu grants AbbVie JanssenUS Takeda

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF AbbVie JanssenUS Takeda Sabina Ali,MD Joseph Sleiman, MD, FACP Tauseef Ali MD, FACG AGAF FACP Andrew Grossman MD Axel Dignass Dominik Bettenworth Fernando Gomollón Berkeley Limketkai Katie Dunleavy Haley Mertens 40M with ileocolonic #Crohns in clinical remission on UST, endo healing on last CLN 2 yrs ago. He says he feels fine. 🧪labs: Hb 10 g/dl, Ferritin 60 ng/ml #MondayNightIBD What would you at that visit?