Totally agree with Scott, 4-6x a day for a well pouch, lucky if you go less. In my younger days I went about 2-4x a day with no meds, that was over 30yrs ago lol.
finding a gastro that specializes in the pouch is a big help, but hard to find. I would travel the country (which I did) if it meant finding the right help for my pouch.