I know how you feel. Moved here from upstate NY, all my docs were in NYC. I just started see Dr. Khazanchi of Florida Digestive Health. He seems to know Jpouch’s. I’ve had mine for a long time. So hate to resort to GI telling what to do. He seems to want to help. Very busy with lots of locations but if you have a Jpouch, I think you get a little more attention. Make sure you mention it. Dr. Khazanchi is in Castle Connoly. How are you doing? I live on Pepto.