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Symptoms often relapse after stopping.","revision_rate_pct":null,"scars":"None; no incisions. Only a temporary needle puncture mark at the infusion site.","sessions_or_stages":{"sessions":{"min":3,"max":3,"unit":"visits","qualifier":"Induction doses at weeks 0, 2 and 6; maintenance continues long term."},"stages":[{"code":"induction_1","label":"First infusion","after":{"min":0,"max":0,"unit":"days","qualifier":"Start of treatment"}},{"code":"induction_2","label":"Second infusion","after":{"min":14,"max":14,"unit":"days","qualifier":"Two weeks after first"}},{"code":"induction_3","label":"Third infusion","after":{"min":42,"max":42,"unit":"days","qualifier":"Six weeks after first"}}],"qualifier":"Induction course; maintenance infusions every 8 weeks follow, usually at home clinic."},"success":{"metric":"Clinical response after induction (IV anti-TNF, e.g. Crohn's disease)","value":60,"unit":"percent of patients","horizon":"8-14 weeks after starting treatment","population":"Adults with moderate to severe Crohn's disease despite conventional therapy","evidence_status":"limited"},"techniques":[{"name":"Intravenous monoclonal antibody infusion","suits_whom":"Crohn's, ulcerative colitis, rheumatoid arthritis needing supervised dosing","recovery":"Same-day discharge; normal activity next day."},{"name":"Subcutaneous self-injection biologics","suits_whom":"Patients preferring home dosing, e.g. psoriasis or arthritis","recovery":"No recovery time; mild injection-site reaction."},{"name":"Interleukin inhibitor therapy","suits_whom":"Psoriasis and spondyloarthritis","recovery":"No downtime; periodic injections."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":3,"unit":"hours","qualifier":"Per infusion including observation; longer for first dose."},"initial_assessment_documents":["Tuberculosis screening results","Hepatitis B and C test results","HIV test results","Baseline blood counts and liver tests","Current medication list","Vaccination record"],"travel_trips":{"min":3,"max":3,"one_trip_possible":false,"qualifier":"Induction infusions at weeks 0, 2 and 6; maintenance every 8 weeks usually continues at the home clinic."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the clinician's qualifications and the credentials of the facility where the procedure will be done","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery 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documentation of any medical care received during travel, including a list of medications received.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"The home doctor needs the list of medications received during treatment","document":"medication list","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Remind travelers to request documentation of any medical care received during travel, including a list of medications received.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your asthma can be managed with inhalers","name":"Asthma 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