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Clinical practice and Perfect Bs protocol use a 3-month cycle: a loading phase, a maintenance phase, and a taper, followed by a 2-month break before reassessment

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BOMSS and NICE CG189 recommend blood tests every three to six months during the first year after sleeve gastrectomy, reducing to annually once levels are stable

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GeneXpert for MTB and ASCA (IgA) were negative, further supporting the diagnosis of Crohns colitisileitis rather than intestinal TB

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