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draegs t1_itv50wo wrote

As someone with a J-pouch, I am always looking for ways to improve my chances of not triggering a bout of pouchitis. Any recommendations on probiotics, supplements, etc that have proven success in maintaining bacterial symbiosis? Or foods to avoid?


cucciaman OP t1_itv6b2v wrote

Hi /u/draegs,

Great question. There is some evidence around the probiotic VSL no. 3, which consists of 8 different probiotic bacteria. Some small clinical trials have suggested this probiotic helps prevent pouchitis in adult patients, although further larger studies are needed to better assess the probiotics efficacy.

There is also evidence for other probiotics such as: the De Simone Formulation, Bifidobacterium longum, Clostridium butyricum MIYAIRI. However, keep in mind many of these studies are done on very low amounts of individuals. So it is best to wait for studies with larger amounts of people before we can say for sure that these probiotics prevent pouchitis.

Thank you for tuning in today.