Tanvi Dhere,MD

SAIA Members come together for #DressinBlueDay to mark #CRCAwarenessMonth 💙🩵 45 is the new 50! If you were born in 1980-1981 and haven’t gotten your screening #colonoscopy yet, please discuss with your doctor🙏🏽 This March, join us to #BreakTheSilence and shatter the stigma around #ColorectalCancer and colonoscopies! 💥 🙌🏽

Colorectal cancer is now the #1 cause of cancer death among individuals under 50 jamanetwork.com/journals/jama/…

Big news! Something that clinically makes sense from @US_FDA RINVOQ: (NEW ADDITION) If TNF blockers are clinically inadvisable, patients should have received at least one approved systemic therapy prior to use of RINVOQ.

@PSamikshaMD @MondayNightIBD @IBDBen @GCalderonMD @ReezwanaCMD @DavidBruiningMD @HorstIBDDoc @ManuelBragaMD @P_DeepakIBDMD @Realcecum @SophieBalzoraMD @ptandonGI @Y_ECCO_IBD @SultanShazi @GloverQuarshie @Adel_Hajj_Ali @gnioannou @KiwanGIDoc @DrMarinaKimP @SpyrosZouridis @HBoudaher @EricaBeckerMD @IBD_FloMD @MN_GIMD @RolnikDaniel @NEJM @doclauravater @HolubarStefan @jordanmaloneDO @BakkorMd @Alibutt1995 @VijaySAre9 @karl_akiki @SantaellaMD @JHashashMD @SunandaKaneMD @keljurdi @HamdehShadi @DivyeshReddy @PriankaGajula @EricYoonMD @DouglasAdlerMD @HarshitKharaMD @LiverNotFighter @DrJFeuerstein @clivejmiranda @drkeithsiau @AdamFayeMD @EdBarnesMD @NayantaraCoelho 6/💡Contraception: LARC preferred; avoid estrogen b/o VTE risk ⚡Pre-pregnancy Counseling: ✅Stable steroid-free objective remission 3–6 mo before conception 💊Stop teratogens: MTX, JAKi, S1Ps 💊Educate on safety of 5asa, thiopurines, biologics 🩺Vaccines, folate, optimize🥗

@MondayNightIBD @IBDBen @GCalderonMD @ReezwanaCMD @DavidBruiningMD @HorstIBDDoc @ManuelBragaMD @P_DeepakIBDMD @Realcecum @SophieBalzoraMD @ptandonGI @Y_ECCO_IBD @SultanShazi @GloverQuarshie @Adel_Hajj_Ali @gnioannou @KiwanGIDoc @DrMarinaKimP @SpyrosZouridis @HBoudaher @EricaBeckerMD @IBD_FloMD @MN_GIMD @RolnikDaniel @NEJM @doclauravater @HolubarStefan @jordanmaloneDO @BakkorMd @Alibutt1995 @VijaySAre9 @karl_akiki @SantaellaMD @JHashashMD @SunandaKaneMD @keljurdi @HamdehShadi @DivyeshReddy @PriankaGajula @EricYoonMD @DouglasAdlerMD @HarshitKharaMD @LiverNotFighter 5/⬆️Risk of active disease in pregnancy if: ✅🔥within 6 months prior to conception ✅🔥in prior🤰 ✅Ulcerative colitis (UC) 💎Ensure stable steroid-free remission for 3–6 months before conception 💎Use & continue effective IBD therapy to optimize🤰outcomes #MFM #ObgynTwitter

Do we really need to stop PPI before testing for H. pylori? link.springer.com/article/10.100…

@MondayNightIBD @DCharabaty @abbvie @JanssenUS @TakedaPharma @nloganmd @fudmanMD @DrJordanAxelrad @DhereMdEmory @SchwartzbergMD @HolubarStefan @EdwardLoftus2 @ibdgijami @PMyrelid @AdamFayeMD 70M pancolitis+PSC, on ADAL, o/w healthy 🔦Surv CLN: depressed lesion in sigmoid (📸 👆🏽) 🔬Bx of the lesion: high grade dysplasia. Random bx proximal rectum: indefinite dysplasia, distal rectum: nml What do you recommend?  🔑TPC= total proctocolectomy; IRA= ileorectal anastomosis

Thank you @lsuhs_gastro for a great conf. Proud of our previous Emory GI trainees including @DachaSunil and #RushikeshShah on teaching us about advanced endoscopy. Thank you #QiangCai for the invitation. Your humility, knowledge, and mentorship continue to inspire me.

@MazenAlmasry4 @MondayNightIBD @bbuchbinderMD @ChaftJamie @gregfischer72 @margare89055458 @MyriamChalabi @GeneCollector @drkeithsiau @ArndtVogel @RyanNipp @CarlKayMD @realDoctorUgo @AmirGhaffariMD @AmyBugwadia @Gastrolegacy1 @TheGastrologer @RestelliniS @MbarbaraMD @GlassnerKerri @sang_hyoung @MLutzMD @KralJan @NabilQuraishi @RashidLui @JVG_GIMD @h_sokol @evanlipson @DeepakGIQuality @Ryansmith_MD @JPAchkarMD @Ari_G_MD @IBDimmunology @ReezwanaCMD @DhereMdEmory @waqqasafif @BattatMD4IBD @ibdgijami @nloganmd @ibdseb @GI_JeffMD @KajaliMishra @DrVinnyCheung @AndrewProthero6 @PKlenermanLab @sarah_sasson @KBollinMD @FunchainMD @DrJNaidoo @dr_kbrass #PostB2B #IBDPoll1️⃣ 🆓#CME👉🏽 bit.ly/ICIsB2Bpost 57y/o w metastatic melanoma started ipilimumab + nivolumab 7 weeks ago. Now in ER w 4 days of non-bloody diarrhea (7 loose BM/day), abdopain, malaise. Stool studies pending, CT scan: pancolitis.

@MondayNightIBD @waqqasafif @IBDimmunology @BattatMD4IBD @GI_JeffMD @valeorillac5 @ibdseb @fudmanMD @fgomollon @SaraElOualiMD @Waseem_AhmedMD @joshsteinbergMD @GI_PharmD @DocSanchu 2/ #IBDAlgo @MondayNightIBD @DCharabaty Phenomenal tweetorial🧵, convos💬 & webinar🎥 on efficacy, safety & role of anti-#IL23p19 in UC & CD ✅Tweetorial & Webinar for review🔗in next tweet ✅Practical info on use of this new MOA👇🏽 @marc_cram @pash22 @ign76 @RestelliniS

📣Join us now for a convo led by @IBDimmunology @DCharabaty With 🆕MOAs in our 🧰 What’s next for #ulcerativecolitis after TNFi ? How do you ⚖️ efficacy/ safety/ comorbidities / age? 🗳️IBDPoll👇🏽 💬Share your thoughts Supported by educational grant @EliLillyandCo

@IBDimmunology @DCharabaty @MondayNightIBD @EliLillyandCo @waqqasafif @BattatMD4IBD @JosephHabibi_MD @ibdgijami @nloganmd @ibdseb @GI_JeffMD @KajaliMishra @SumonaB_MD @Waseem_AhmedMD @DuekerJeffrey @berinsj @FITWITMD @AdamFayeMD @bkocharmd @AmerGastroAssn @AmCollegeGastro Given pt hx of 2 cancers and age, I would lean towards med with better safety profile. Which IL23? Any of the 3 IL23 would be an option. Would lean on insurance…

@DhereMdEmory @DCharabaty @MondayNightIBD @EliLillyandCo @waqqasafif @BattatMD4IBD @JosephHabibi_MD @ibdgijami @nloganmd @ibdseb @GI_JeffMD @KajaliMishra @SumonaB_MD @Waseem_AhmedMD @DuekerJeffrey @berinsj @FITWITMD @AdamFayeMD @bkocharmd 2 questions for you @DhereMdEmory 1. Why NOT IFX now? It’s known + comfortable 2. As @DCharabaty notes - which IL-12/23 would you go with? Both actions would be supported by @AmerGastroAssn and @AmCollegeGastro guidelines - interestingly

@DCharabaty @IBDimmunology @MondayNightIBD @EliLillyandCo @waqqasafif @BattatMD4IBD @JosephHabibi_MD @ibdgijami @nloganmd @ibdseb @GI_JeffMD @KajaliMishra @SumonaB_MD @Waseem_AhmedMD @DuekerJeffrey @berinsj @FITWITMD @AdamFayeMD @bkocharmd I agree with IL23 or vedo. IFX still a good option if pt starts to struggle with relapse sx with tapering off steroids or has AE with steroids and needs quicker acting rx.

@IBDimmunology @MondayNightIBD @EliLillyandCo @waqqasafif @BattatMD4IBD @JosephHabibi_MD @ibdgijami @nloganmd @DhereMdEmory @ibdseb @GI_JeffMD @KajaliMishra @SumonaB_MD @Waseem_AhmedMD @DuekerJeffrey @berinsj Great case @IBDimmunology ! In someone who responds nicely to predn, I would go for an IL23 or Vedo; good efficacy & safety profile in a fit pt > 65. 💭 @ibdseb @FITWITMD @AdamFayeMD @bkocharmd ?

We've come together for #DressinBlueDay, the first Friday of #CRCAwarenessMonth! 🎉 Join SAIA as we stomp out the #stigma! #45isthenew50 so if you haven’t gotten a screening #colonoscopy yet, please talk to your physicians 💥🙌🏽

@AnotherPatelMD @mystlukes They are lucky to have you! Love the smiles!

So privileged to work with this team @mystlukes Allentown hospital. Yes, we are ACTUALLY this happy because we love what we do, & are dedicated to providing a positive experience for patients! Visit us for your colonoscopy & get screened for colon cancer! #ColonCancerAwareness

Excited to announce results of our #ADDapt trial After 6 years and the help of 154 people with #CrohnsDisease we prove that restricting #emulsifiers improves disease Award winning presentation from @AaronBancil at #ECCO25 Excited for next steps to help people with Crohns

🍁Part 5 of our fall series: A better future in #Crohns ✅#IBDTweetorial🧵 w/ #DrMarlaDubinsky & @DCharabaty 🔮New Treatment 🎯 on the horizon: transmural healing & PROs 🆓#CME bit.ly/CrohnsPROs Support by an educational grant from @EliLillyandCo 📌Where r you in🩺

Thank you @JHaydek for the great summary points!

I always learn from⭐️ @ibdgijami #Negotiating & get your dream job ✅Build a network ✅Know your value ✅Ask for what you want & know your non-negotiable ✅Negotiate more than a salary👇🏽 ✅Involve a lawyer & have everything in writing @AmerGastroAssn #WomenInGI workshop

⏰Make a 🌟splash🌟 on back to school night this fall ! 🗞️Submit your work by Nov 1 to #CC360 @IBDJournals Special series 🎯#EIM in #IBD 🔺From “classical” (joints, skin,eyes..) to under-recognized EIM (orofacial, dental, CV, fatigue, kidney stones..) academic.oup.com/crohnscolitis3…