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Marcel Yibirin, MD, MPH Profile picture
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Jan 9 • 4 tweets • 11 min read
@MondayNightIBD 1/Welcome back to #MondayNightIBD with our #Back2Basics team! ⭐️🔆📚
We will talk about #Obesity ➕ #IBD
with
@BassiMehak
@ifrahfatima
@MarcelYibirin
#MakeitSimple
w help from #IBDAdvocates🦸‍♀️🦸‍♂️
@MondayNightIBD @BassiMehak @ifrahfatima 2/🎯35% of the 🇺🇸 population is obese= BMI>30, leading to rising healthcare 💲💲.
🎯20-40% of patients with #IBD are obese.
🎯#Obesity assoc. with 34%⬆️ risk of CD, but not UC
🎯Each 5kg/m2 ⬆️ in BMI ➡️with 16% ⬆️ risk of CD Image
@MondayNightIBD @BassiMehak @ifrahfatima @kzhuangmd @agoldowskymd @IBD_FloMD @IBD_Afzali @babudayyeh @BolandBrigid @amjohnsonMD @PopovVioleta @RobertoSimonsMD @LauraChiuMD 3/ ☸️Outcomes of pts with #Obesity & #IBD
⚠️ Little data & conflicting results, but overall: ⬇️ IBD outcomes
⬇️Remission rates
⬆️Flares
⬇️QoL
⬆️Unplanned healthcare utilization.
⬇️Time to 1st surgery in CD
⬆️ Risk of surgery & hospitalization in UC
@MondayNightIBD @BassiMehak @ifrahfatima @kzhuangmd @agoldowskymd @IBD_FloMD @IBD_Afzali @babudayyeh @BolandBrigid @amjohnsonMD @PopovVioleta @RobertoSimonsMD @LauraChiuMD 4/Response to Biologics in #IBD w #Obesity
⬇️Response to fixed dose SC ADA (but not to weight-based IV IFX) in CD
⬆️TNFi failure in UC, regardless if SC or IV
⬆️ Dose escalatation of Vedo in IBD ImageImage

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More from @MarcelYibirin

Marcel Yibirin, MD, MPH Profile picture
Dec 19, 2022
@GroverDheera @MondayNightIBD @Empoweringpts9 @aboutIBD @ownyourcrohns @Youcantmakethi4 @Spencerkelley7 @RomyChamoun @ibdtweets @JosephHabibi_MD @dunleavy_katie @yaransarkis @BassiMehak @snehadave98 @Clin_Med @IBDPassport @ibdesis @IBD_FloMD @ibdgijami @mlatorremd @MadhuraB_ @nataliesparacio @CrohnsColitisFn @ibddoctor @MuzaffarAkbar @HalehVaziri @DrZuriMurrell @Badr_AlBawardy @JillGaidosMD @JPAchkarMD @drsophiadar @BrunoCapucin @stevenbollipo @MPishvaian @gutdoc33 @IBDMD 8. Let's go🚗✈️
💉Right vaccines before✈️
💥Use 😷
💥Call agencies to ✍️ the 🚽@AAA_Travel
💥If you have ostomy bag, alert security personnel
💥Download medical care @tsaforamerica for special screening if flying
💥Aisle seat for easier access to🚽

tsa.gov/travel/special…
@GroverDheera @MondayNightIBD @Empoweringpts9 @aboutIBD @ownyourcrohns @Youcantmakethi4 @Spencerkelley7 @RomyChamoun @ibdtweets @JosephHabibi_MD @dunleavy_katie @yaransarkis @BassiMehak @snehadave98 @Clin_Med @IBDPassport @ibdesis @IBD_FloMD @ibdgijami @mlatorremd @MadhuraB_ @nataliesparacio @CrohnsColitisFn @ibddoctor @MuzaffarAkbar @HalehVaziri @DrZuriMurrell @Badr_AlBawardy @JillGaidosMD @JPAchkarMD @drsophiadar @BrunoCapucin @stevenbollipo @MPishvaian @gutdoc33 @IBDMD @AAA_Travel @tsaforamerica 9. Diet.
✔️Drink plenty of🥤
✅Bring a Dish that you know you tolerate well focussing on 🥦🥕🍗🐟
‼️ Avoid Going Into Holiday Meals Starving
Small, frequent meals are best tolerated during flares. 〽️
🍜Soft, well cooked easily digestible foods to avoid GI discomfort
@GroverDheera @MondayNightIBD @Empoweringpts9 @aboutIBD @ownyourcrohns @Youcantmakethi4 @Spencerkelley7 @RomyChamoun @ibdtweets @JosephHabibi_MD @dunleavy_katie @yaransarkis @BassiMehak @snehadave98 @Clin_Med @IBDPassport @ibdesis @IBD_FloMD @ibdgijami @mlatorremd @MadhuraB_ @nataliesparacio @CrohnsColitisFn @ibddoctor @MuzaffarAkbar @HalehVaziri @DrZuriMurrell @Badr_AlBawardy @JillGaidosMD @JPAchkarMD @drsophiadar @BrunoCapucin @stevenbollipo @MPishvaian @gutdoc33 @IBDMD @AAA_Travel @tsaforamerica 10. etoh
🆘Avoid excessive alcohol consumption
⚠️Patients with IBD report worse GI sx following 🍺consumption.
⚠️Alcohol can interfere with the metabolism of several 💊, leading to ⬆️ adverse events/ loss of efficacy.
🍷Red wine may be the best option

ncbi.nlm.nih.gov/pmc/articles/P… Image
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