I don’t know if it helps or has any benefits but It supposed to prevent pouchtis, which I have not had. So it’s a mind/body thing for me. I feel good taking it.
Interesting. I know I don't have pouchitis and did try VSL3 in the early days when it was cash only, no insurance coverage. It didn't help with BMs per day so I stopped taking it. I might be lucky in the sense of no pouchitis but I think I had a poor j-pouch result insofar as gut transit time issues.
My body just spews bile. With my last obstruction high up in the gut I was still cranking out liters of fluid via an NG tube pumping me out, long after my stomach was empty. It was just maybe a few feet of upper small intestine pumping out all of that juice.
I'm curious what the average imodium dose is for most J-pouchers. I read some case studies in Europe where ileostomy patients were given well over 200mg via compounding pharmacies with incredible results. These people had severe short-bowel syndrome, though.
I've got good length but my gut speed is unreal fast.
So maybe I am a one-off situation where everyone else needs a minuscule dose of imodium.