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will finally come of age with the biomarker in the TL1A studies Consider clinical clues cytokine-based strategies The presence of other IMIDS gives clues to dominant biological process and therefore clues to treatment target FUTURE CONSIDERATIONS Emerging endpoints of interest Transmural healing Disease clearance Collateral remission (rheumatology) or functional remission In progress STRIDE III (end 2025 / 26) New(er) and novel treatments Improving existing MoAs New MoAs novel small molecules, mucosal healing agents, cellular immunotherapy Pulse and de-escalation strategies Biome-based strategies Dietary strategies elimination

[DOI] [PubMed] [Google Scholar] 53.Scheen A

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Long-term GLP-1 support without medication dependency The cortisol gut microbiome connection is important because chronic stress can disrupt microbial balance, reduce SCFA production, weaken appetite regulation, and affect metabolic resilience
