A 55-year-old male client visits the clinic for a routine health maintenance examination. He inquires about the recommended screening tests appropriate for his age group and risk factors. One important screening test for males over 50 is the colorectal cancer screening. The healthcare provider explains that this can be done through various methods, including a fecal occult blood test (FOBT) and a colonoscopy. It is advised that a colonoscopy is performed every ____ years if the initial screening is normal. If polyps are found, the frequency may change.