This is an old string so I may be talking to the wind, but I stumbled across it and thought I'd chime in in case anyone finds this string in a search. I had a jpouch for 30 years that was pretty manageable although had to take Cipro the entire time. Last few years fistulas and anal canal narrowing caused lots of problems and I got a permanent ileo. 7 mos out now and I'm the healthiest I've ever been. My blood work is normal and I'm not on meds. RIght after the surgery I started eating anything - ie gluten, sugar. Got some serious skin issues said to be Crohns related, so realized I'd be better off sticking to healthy eating. That for me is loosely AIP Paleo. Typical meals- pastured eggs/salmon/olive oil, soaked/sprouted nut butter/dark chocolate, Instant Pot ground beef stew, lots of fish, baked carrots/olive oil, casein A2 butter, sourdough bread, strawberries (heated in micro to make sure no blockage issues) with yoghurt, sauerkraut juice. There wasn't anything out there about diet 30 years ago when I got diagnosed w UC/Crohns then 6 mos later had my colon out/jpouch, so I do sometimes wonder if I could have saved my colon, but overall wherever you are in your journey, I strongly believe diet and managing your microbiome makes a huge difference. I now do GI Map tests to monitor my microbiome every 3-4 mos and use natural antibiotics (like wild oregano oil or olive leaf) if I need to keep things in check. Good luck to everyone. I know it can get dark at times with these conditions, but I believe the body can do remarkable things to heal.