Do I dare ask "why not" the colonoscopy...? I had one at age 50. Husband's had two now, one every five years, due to having polyps removed after the first one. Second time, he got a clean bill of health.
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Because they are highly unpleasant experiences that waste two or three days of my life and I feel no need for one. For my kids, who all have crohn's disease, I have found colonoscopies trigger crohn's flares. Stay away from doctors and their sadistic tests is my policy and I am sticking with it.