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You should NOT undergo microneedling if you: Additionally, microneedling has not been formally evaluated in patients with certain conditions, including active acne, rosacea, eczema, psoriasis, diabetes, active infections, keloid scarring, or those on blood thinners or immunosuppressive therapy

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Indications include: Medically refractory disease not responding to optimized biologic therapy Bowel obstruction from fibrostenotic stricture Intra-abdominal abscess not amenable to percutaneous drainage Complex perianal fistula (seton placement, diversion) Enterocutaneous or enterovesical fistula Dysplasia or cancer in Crohns colitis Free perforation (rare) Nutritional Therapy Exclusive enteral nutrition (EEN) effective for induction in pediatric Crohns