Many times boils down to resources. There’s other reasons to stick a camera up there, but in those situations it’s more commonly reserved for folks who would be considered higher risk (strong family history, FOBT+, inflammatory hx, etc.).

Couldn’t find what little they found on me with a FOBT though.

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I was surprised to hear from several people living abroad that in Demark a colonoscopy is considered to be a higher risk procedure, and as such is only done when indicated for by test results or symptoms. It makes me suspicious of the let’s do it for everyone over 45 thing here in the US. Money money money money….you know? Maybe there is solid science to support it, but so much research is funded and influenced by the corporate industrial medical complex these days, it’s getting difficult to trust findings.