Do you routinely offer aspirin as an adjunct with adjuvant therapy in colorectal cancer?

Agree with Axel. I do discuss ASA to adjuvant and metastatic patients. Vitamin D, tree nuts, gut health with probiotic sources, exercise, mediterranean diet as some lifestyle modifications.

ASA could be offered for those at cardiovascular risk. Pending the outcome of good prospective trials, I do not offer this. I do offer vitamin D and encourage exercise.