Which probiotic are you on? I’m 15 years out too and pouchitis is occurring more often. On Bactrim this time. As soon as I stop the 2 week course, cramps etc start again. I am on Rifaximin in between other antibiotics. The Rifaximin ( generic from Canada) doesn’t seem to keep the pouchitis away.
I also get ironIV once a year
I have some Vsl double strength I may try
Any advice appreciated.