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7.7 – Case Study: From Infusion Suite to Salad
               Bar


               Sometimes the best way to understand a revolution isn’t
               through graphs, pathways, or pipelines—but through the
               eyes of a single patient.


               Meet Rebecca, a 28-year-old schoolteacher living outside
               Minneapolis. She has ulcerative colitis, a form of
               inflammatory bowel disease that causes chronic
               inflammation and ulceration in the colon. Her symptoms—
               cramping, urgency, fatigue, blood in her stool—flare
               unpredictably, often knocking her out of her routine and
               isolating her socially.


               Over the past decade, Rebecca has tried everything:

                   •  Steroids that bloated her face and weakened her
                       bones.
                   •  Immunosuppressants that left her catching every
                       cold in the classroom.
                   •  Elimination diets that shrank her social life along
                       with her inflammation.

               And then came the biologics.




               Life on the Infusion Treadmill


               Three years ago, her gastroenterologist prescribed
               infliximab, a TNF-alpha-blocking monoclonal antibody. It
               changed her life—for a while.


               But like so many patients, Rebecca quickly found herself
               tethered to the biologics treadmill.

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