Michael Chiorean Ralley Prentice Bincy Abraham, MD, MS IBDHorizons Maia Kayal MD Jill Gaidos, MD Marita Kametas Madhuri Badrinath Catherine Bonnar Jessica Philpott PIANO Agree- I am comfortable using Risa in pregnancy. But for speed of action I would lean toward switch to anti-tnf. Depending on other bio markers budesonide good option to bridge. EEN great idea if patient willing but again agree - if sick and need prednisolone shouldn’t hesitate.