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Vitamin B12 is important for DNA production, Red Blood Cells and Nerve Cells

Elevating Healthcare Professional Education A common problem faced by PA patients is the adherence to a rigid, infrequent injection schedule (typically 1mg every 2-3 months)

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