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Reply to "New member, Old poucher, new problems...."

The Prometheus test is just a proprietary IBD serology assay. They claim to have the best algorithms for IBD diagnostics, but certainly not foolproof. Even if you wind up with a Crohn’s or indeterminate diagnosis, it would not change anything, because the treatment is pretty much the same across the spectrum. But, it does make it easier to get past some insurance roadblocks for biologics approval if you have a Crohn’s diagnosis. The main thing to know is that it does not mean they remove your pouch because of it. It might mean you have a higher risk for pouch failure, but that does not actually change anything for you.

Jan

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