#Anemia is more than a Hb number, it affects #IBD pts QOL & outcomes 🗳️PreB2B Polls 🧵#Back2Basics Aimen Farooq Arooj Mian May 12 📌Convo Jason Hou May 19 🆓#CME👉🏽 bit.ly/MNIBD24-25 Support by educ grants AbbVie JanssenUS Takeda 📌Where r you in your🩺?

#PreB2B #IBDPoll1️⃣ 🆓#CME👉🏽bit.ly/AnemiaPre 29F #Crohns ileocolitis presents w fatigue. Lab: Hb 10.2 g/dL, Ferritin 75 ng/mL, Transferrin Saturation: 8%, B12 350, CRP 15 mg/dL Which of the following is the most likely cause of her #anemia?

#PreB2B #IBDPoll2️⃣ 🆓#CME👉🏽bit.ly/AnemiaPre 🔦CLN of the pt reveals active mucosal inflammation in ileum + right colon. In addition to starting effective therapy for her Crohns, What is the most appropriate next step in the management of this patient’s #anemia?

#MondayNightIBD 1/ 🧪Let's review #Anemia in #IBD #MondayNightIBD #Back2Basics 🧵 ✅Prevalence (you will be 😲) ✅Causes ✅Symptoms ✅Health outcomes ✅Work-up: IDA vs ACD ✅Management of IDA Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation 2/ 🔹Prevalence: #Anemia is one of the most common extra-intestinal complication in #IBD ⚠️Up to 9️⃣0️⃣% patients! CD>UC, Common presentation in children 🧪Hb <13g/dL 🚹, < 12g/dL🚺, <11g/DL🤰 ⚠️Underdiagnosed & Undertreated #MondayNightIBD #Back2Basics

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD 3/ Causes of Anemia in IBD 🔹IDA & ACD are most common, often overlap 🔹MOAs: Chronic🩸loss, malabsorption,⬇️erythropoiesis, Fe sequestration ⚠️ IDA correlates w/IBD🔥 🔹Check B12 & B9 deficiencies 🔹Do not forget folate Supp. with SSZ & MTX #MNIBD #Back2Basics #GITwitter

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Aimen Farooq Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD 4/ 🔹Symptoms of Anemia ⚠️May be vague: stay vigilant! ⚠️Non-anemic Iron Deficiency (NAID)➡️ Symptoms too 🔹Difficult to distinguish symptoms related to anemia vs active IBD 🔹Symptoms of iron def , B12 def 👇📷 #MNIBD #Back2Basics #GITwitter

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Aimen Farooq Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc 5/🔹Negative outcomes of #Anemia in #IBD ⬇️QoL ⬆️ Healthcare utilization ⬆️🏥, ⬆️ LOS ⬆️ ER/GI/PCP visits ⬆️Post-op complications (sepsis, re✂️) & mortality ⬆️💰 #MondayNightIBD #Back2Basics

#MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Aimen Farooq Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD 6/ ⚠️ Screen regularly 🔍 for anemia b/o ⬆️ prevalence & impact on QoL 🔹IDA: 🧪 CBC, Ferritin, TSAT/FeSat 🗓️ Active disease ➡️ q3 months 🗓️ Remission/mild ➡️ q6-12 months 🔹B12 def: qyear if ileal dis/resection #MNIBD #Back2Basics #GITwitter

Arooj Mian #MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD Amanda Johnson, MD Meena Bewtra Nisha Loganantharaj Lumír Kunovský Keith Siau Hannah Fiske Goodrich, MD 7/ 🔹Differentiate IDA vs ACD (📷👇) ⚠️Remember Ferritin increases during IBD🔥 🔹IDA in IBD: if Ferritin <30 ug/L & no inflam or <100 if 🔥 🧪 Ferritin >100 & TSAT <20% ➡️ACD 🧪 Ferritin 30-100 & TSAT <20% ➡️ IDA + ACD #MondayNightIBD #Back2Basics

Arooj Mian #MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD Amanda Johnson, MD Meena Bewtra Nisha Loganantharaj Lumír Kunovský 8/ Management of #Anemia 🔎Screen➡️Treat➡️Follow-up 🎯Restore Hb & Fe stores to nml ⚠️Hb< 8g/dL+ symptoms➡️transfuse blood 🔥Active disease➡️ impaired absorption: IV Iron ✅ not PO #MNIBD #Back2Basics #GITwitter IBDJournal & CC360 Jason Hou

Arooj Mian #MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD Amanda Johnson, MD Meena Bewtra Nisha Loganantharaj Lumír Kunovský IBDJournal & CC360 Journal of Crohn's and Colitis 9/ How to use 🔹PO Fe 💊⬆️ hepcidin response x 24h & ⬇️ by 48h 💊 60-120 mg Fe x 1 every other day to ⬆️ absorption & ⬇️ AE 💎+Vit C :⬆️Fe absorption 🔹IV iron/Formulations 📷👇 ⚠️ In🏥experienced w/ managing infusion rxn w 💉Antihistamines, steroids ready #MondayNightIBD

Arooj Mian #MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD Amanda Johnson, MD Meena Bewtra Nisha Loganantharaj Lumír Kunovský IBDJournal & CC360 Journal of Crohn's and Colitis 10/🔹Encourage patients to incorporate Fe rich foods in their diet. 🔹Pair with Vit C for⬆️absorption More choices: Tofu, sardines, canned & stewed 🍅, beans (white 🫘, lentils, kidney🫘, chickpeas), oysters #MondayNightIBD #Back2Basics #GITwitter

#CGH4ALL 📣 🩺 NSBBs reduce first decompensation risk in cirrhosis w/ enduring CSPH 💥 Significant impact even in small GEVs and hepatitis C-cured patients! 👇 Read the full study from CGH 🔗 doi.org/10.1016/j.cgh.… Reported by Ariana Pereira Laura Turco Alessio Gerussi

#MondayNightIBD join the convo now ! led by Jason Hou Aline Charabaty, MD, FACG, AGAF 🎯When/How do you evaluate/treat or reassure a patient w #IBD & #anemia? 🗳️#IBDPoll👇🏽 & share your 💬 & expertise w us! 🆓#CME👉🏽 bit.ly/MNIBD24-25 Support by edu grants AbbVie JanssenUS Takeda

📣#GI #CRSurgery Join us now for this convo led by Nayantara Coelho Aline Charabaty, MD, FACG, AGAF What factors impact the type of ✂️ you recommend for #dysplasia in #IBD ✅Endo 📸 in this post 🗳️Vignette👇🏽& share your 💬 &expertise w us Support by edu grants AbbVie JanssenUS Takeda

Grateful to share that my abstracts were accepted for poster presentation at ACG 2025 in Phoenix, Arizona. Looking forward to sharing our work and learning from colleagues in the field! #ACG2025

Happy to bring back my USA education & GI experience in a full circle 📣 Virtual Talk w/ Real-world advice: -Residency & fellowship matching -Research & leadership as an IMG -Career-building in IM & GI 🎯My journey from medical school in Lebanon to training & securing a

Congratulations to Sudha Pandit and Dr. Xiao Jing (Iris) Wang, M.D. on their Healio Gastroenterology Rising Disruptor nominations! Great to see both being recognized for their contributions to the field 👏. #GITwitter