TIer 1: Dietary evaluation, Exercise evaluation =/- coach Stress evaluation =/- managemnty. FIT test for blood on stools and results interpretation, US of abdomen (if positive we recommend colonosocpy)
Tier 2: All the above plus Medical exam, Colonoscopy , Complete labs, fecal calprotectin, H. PYlori Breath test ( if needed), test for gluten sensitivity
TIer 3 : Colonosocpy, complete GI labs, =/- anorectal manometry =/- US of aabdomen
Insurance will only pay for a portion of this program.