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Reply to "Are there any natural replacements for Mesalamine (Lialda)?"

I’m more than a little skeptical of “natural” solutions, since there tend to be some false beliefs about what that means, and what the advantages might be, and (worst of all) what side effects may exist. Nevertheless, focusing on the VSL question, it’s important to use VSL adequately, and that means a significant quantity is usually needed to have any effect. One VSL capsule is probably useless. I take an especially high dose (of the DS packets), equivalent to 32 capsules daily. This is quite expensive, though I’m pretty clear that I get real benefit at that dose. There’s no evidence that I’ve seen that it helps with cuffitis, but it seems to more clearly help with pouchitis. YMMV.

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