October 2024 saw significant gastroenterology news, including FDA approval of Exact Sciences’ Cologuard Plus test for colorectal cancer screening, and research from the ACG 2024 meeting on cendakimab for eosinophilic esophagitis, vitamin D deficiency in IBD outcomes, and long-term mirikizumab efficacy in ulcerative colitis and Crohn’s disease. GLP-1 RA use was linked to increased food retention and poor bowel preparation in endoscopy, but not to significant medical risks. Depression symptoms were found to negatively impact dietary intervention response in IBS patients, while stress was identified as a major trigger for IBS symptoms.