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[@RishikaChughMD](/creator/twitter/RishikaChughMD)
"@DCharabaty @PujaKhannaMD @MondayNightIBD @abbvie @JNJInnovation @TakedaPharma @HorstIBDDoc @ibdgijami Low threshold for hosp. If IUS is showing mostly left sided disease then may do budesonide enemas+ UST. She is in 2nd tri and there are no long term risks of steroid use with baby (Odafalu Gut 2022) so if PO budesonide is needed to control dx that would be appropriate too"  
[X Link](https://x.com/RishikaChughMD/status/1977956217160085742) [@RishikaChughMD](/creator/x/RishikaChughMD) 2025-10-14T04:34Z XXX followers, XXX engagements


"@DCharabaty @PujaKhannaMD @MondayNightIBD @abbvie @JNJInnovation @TakedaPharma @HorstIBDDoc @ibdgijami Would also monitor this pt with q2-4 week IUS if not admitting and in an active flare That has been our protocol"  
[X Link](https://x.com/RishikaChughMD/status/1977956509272433080) [@RishikaChughMD](/creator/x/RishikaChughMD) 2025-10-14T04:35Z XXX followers, XXX engagements