Isn't that partially because they only recently changed the recommendation for first colonoscopy from 50 yrs to 45? And people just aren't aware of it?
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My doctor has been asking me if I've had one every year since I was 34. I finally went to get one this year (I'm not 40 yet) and probably a good thing because they needed to take some samples for testing. I don't have any risk factors for that cancer beyond being sedentary