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✅ It’s not about choosing diet or drugs, but combining both for better IBD outcomes
👉 The recent ECCO-ESPGHAN guidelines recognize the use of both an only-liquid diet and Crohn’s Disease Exclusion Diet options as an induction therapy in children with CD
👉 Replacing of 50% of habitual food intake with a nutritionally complete formula improves remission rates and remission maintenance in adults with active CD treated with first-line adalimumab:
🔸Yield better responses in patients with ⬆️ baseline burden inflammation and in whom the ileum is involved
🔸Combining oral nutrition supplements plus biologics was associated with improvements in the micronutrient profile and with high muscle mass and grip strength
👉 The CDED plus nutritionally complete formulas are an effective therapy now integrated into CD guidelines, and major benefits include:
🔸A bridge therapy option before biologics
🔸A rescue therapy in patients who lost response to biologics
🔸A reduction in subclinical inflammation in asymptomatic pediatric patients with CD
🔸An enhancement of biologic effectiveness
👉 Combining the CDED with biologics offers a complementary approach for Crohn’s management
🔸 Diet directly targeting the gut microbiome and intestinal barrier, not targeted by drugs
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