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If the itch persists, a single-dose, non-sedating oral antihistamine the evening after an injection can help

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The medication is compounded at licensed 503A pharmacies and remains the same price regardless of your dose levelyour dose may go up, but your price won't

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the appetite-suppressing effects of GLP-1 agonists require careful consideration Medication absorption : Delayed gastric emptying may theoretically affect the absorption of oral Crohn's disease medications, though clinical significance remains unclear Ongoing monitoring strategies include: Symptom diary : Patients should maintain records distinguishing new gastrointestinal symptoms from their baseline Crohn's pattern Faecal calprotectin testing : When clinically indicated to differentiate inflammatory activity from functional symptoms, in line with NICE DG11 guidance Nutritional surveillance : Regular assessment of weight, body composition, and nutritional markers (albumin, vitamins, minerals) Dose titration : Slower than standard dose escalation may improve gastrointestinal tolerability Collaborative care between gastroenterology and diabetes/obesity services is strongly recommended

They improve the diversity of the gut microbiome, which matters because there is a genuine gut-joint connection in autoimmune disease