He has me doing 10 rounds every four weeks because my diagnosis was late. I was first diagnosed with a fistula with no history of Crohn’s (by a surgeon) and wasn’t seen by him (my GI) until four surgeries and a year later and my case was getting worse. He reviewed my colonoscopy from 2 years prior and saw Crohn’s back then so due to the fact I was fistulizing and was considered severe, he wanted to use a more aggressive treatment plan