I know you do that after a decade with the disease, but I don't think it's need prior to that unless you're flaring all the time (I'm only assuming that).
Are you flaring? Is that why the GI said you need to be on biologics?
She is pushing biologics like the last GI and I got a strong sense there is a kickback involved.
I told her I cannot take on the risk as a single parent with full custody and my own methods will suffice. She told me to find another doctor, then she ordered biologics anyway.
I have not called her or my GP for a year, I did flare mid summer but pulled myself together by getting back on my program. I still have UC but I am not flaring.