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MediumGastroenterologyUlcerative colitisau-amcau-racp

A 32-year-old woman has a 6-month history of intermittent bloody diarrhoea, urgency and crampy lower abdominal pain. Colonoscopy shows continuous inflammation from the rectum to the sigmoid colon; biopsies confirm ulcerative colitis. She is otherwise well and has no systemic symptoms. According to contemporary IBD management, what is the most appropriate initial induction therapy?

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