I’m A Colorectal Cancer Doctor — Here Are 5 Things I’d Never, Ever Do

8 June 2025

2. Never Delay Your Screening Tests

Why It Matters
Screening is a lifesaver—plain and simple. American Cancer Society guidelines now recommend starting routine screening at age 45 for people at average risk, reflecting the alarming rise in cases among adults under 50. Gold-standard colonoscopy not only finds early-stage cancers; it can prevent them by removing pre-cancerous polyps during the same outpatient visit.

Key Takeaways

  • Colonoscopy: The most comprehensive tool, allowing your doctor to visualize the entire colon, biopsy suspicious lesions, and eliminate polyps in real time.
  • Stool-Based Tests: Non-invasive options such as FIT, gFOBT, and multi-target DNA stool tests (e.g., Cologuard®) are cost-effective and often covered by major health-insurance plans.
  • Equal Access Matters: Advocating for Medicare and private-insurance parity guarantees that every community—including rural and underserved groups—can benefit from these life-saving tests.

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