Hamna Fahad1, Muhammad Talal Sarmini2, Jamak Modaresi-Esfeh3. 1. Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA. fahadh@ccf.org. 2. Department of Hospital Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA. 3. Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, OH, USA.