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Description
Patients following bariatric surgery, GI disease, or with malabsorption syndromes
Scientists took the 70 amino acid structure of natural IGF-1 and added 13 more at the N-terminus
Most patients begin noticing results after 4 to 6 injections
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
