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cologuard vs colonoscopy screening

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I had looked into it previously


do not recomend it unless someone demands it


the new FIT (hemocult) test is fine for annual testing (only positive with human hgb)


with normal risk factor yearly FIT is okay instead of colonoscoy - but make sure you know rather they are "average risk" 

  • A personal history of colorectal cancer or certain types of polyps
  • A family history of colorectal cancer
  • A personal history of inflammatory bowel disease (ulcerative colitis or Crohn’s disease)
  • A confirmed or suspected hereditary colorectal cancer syndrome, such as familial adenomatous polyposis (FAP) or Lynch syndrome (hereditary non-polyposis colon cancer or HNPCC)
  • A personal history of getting radiation to the abdomen (belly) or pelvic area to treat a prior cancer
  • my personal addition - hx of certain CA or CA treatment in which colon CA rates are higher after remission/treatment



excellent resource





In my practice - yearly FIT starting at age 50 (CAUTION IT IS GOING TO CHANGE TO 45 SOON - KEEPS YOUR EARS OPEN)

If someone is high risk -colonoscopy 10 yrs before age of early Dx or other factor

I don't really recommend Cologard - to darn expensive....

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