Highly recommend Visbiome. It immediately changed my susceptibility to chronic pouchitis after 25 years of cycling on and off antibiotics and dealing with pain that interfered with my work and life in general…..actually was recommended by an anesthesiologist when I was having yet another exam under anesthesia. Definitely angry that neither my gastroenterologist nor my surgeon offered this intervention….6 years after starting Visbiome I have gone from 5-6 antibiotic RX/year to only 1 in the past 4 years. I take Visbiome 1capsule 2X/day for maintenance. Still have occasional bouts with frequency/urgency and bloating where I feel like I’m developing pouchitis. I up my dose to 2 capsules 3-4 times/day and I get things back under control without antibiotics. Also I increase my focus on enhancing my gut microbiome with more fresh greens and fruit in my diet. Based on some food tracking I have found that low carb diet pushes me toward pouchitis so I make sure I have a serving of whole grain carb daily.
Hope you find get things under control!