Ok. It is a year later and I'm posting current status on my theory related to keeping a more alkaline system. If this had not worked I would post accordingly. This is working. I moved from lemon juice to using the probiotics noted and 4 tablespoons of vinegar in a glass of water which I swallow through the day, not all at once. Antibiotic treatment has diminished from every three months to maybe once a year. For me, there is something to this. I know we are not all the same. I'm hoping that I can manage pouch inflammation with increasing probiotics as needed and stay away from antibiotics. Will post again in the months ahead. If anyone else is experiencing a positive effect from managing acidity and use of probiotics would love to here about it.