For some of us - me - diet plays a HUGE - role in recovery and beyond. Especially if you eat an inflammatory diet.
Andrina - we all have autoimmune - and no surgery ever takes that away. We can always get autoimmune symptoms - brain fog is the most common - and we are all prone to activating other autoimmune diseases.
OP- maybe diet? If you eat tons of sugar or white processed food - some pouches rebel. Many times when a ouch matures you can go back to your favorite foods.
I would definitely go see Remzi if you can. He’s magic.
good luck - let us know what happens.