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14 November 2025

Top to Bottom Podcast - BSG IBD Guideline - De-escalation of Therapy

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Dr Shahida Din, Chair of the BSG IBD Committee, and Dr Jonathan Blackwell - both Consultant Gastroenterologists at the Edinburgh IBD Unit - are joined by Mrs Fiona Rees, Consultant Pharmacist at University Hospitals Sussex, to explore the BSG IBD Guidelines with a focus on therapy de-escalation. Together, they discuss how best to manage patient expectations around treatment and outcomes.

They also take a detailed look at the role of Mesalazine, routes of administration, Thiopurines, anti-TNF therapies, Pulse Therapy, and the importance of continually reassessing treatment plans.