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Reply to "j-pouch vs Ostomy"

The way you eat will likely change, at least for a while.  The first year was a period of adjustment for me. I had to eliminate insoluble fiber, alcohol, tomatoes, and seriously reduce white flour and sugar.  

Some centers recommend a Mediterranean diet for j-pouchers.  Some suggest a diet high in protein.  The advice across the board seems to be to limit too much sugar and foods heavy in processed carbs -- white bread, pasta, etc.     I'll be two years from takedown in June and I stick to the Mediterranean diet but limit insoluble fiber.  

It is important to have your pouch constructed by a very highly experienced j-pouch surgeon. Otherwise mechanical issues could occur that can impact what you eat.   But with a well constructed j-pouch and a little patience, you can probably expect a varied healthy diet.

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