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Reply to "Remicade Failed For Pouchitis/Crohn's - What's Next?"

CT, you’ve summarized the trade-offs and risks pretty clearly. My only (very limited) contribution is that it might be worth thinking hard about whether your current level of inflammation is acceptable enough to hang onto. I know it isn’t great, since the inlet is stricturing, but one (positive) way to characterize that mostly negative situation is “treatable.” So as you tackle the decision about whether to permanently abandon the current treatment I’m suggesting fully considering the positives as well as the negatives.

I may well face a similar situation in the future, and for now I’m squeezing as much time out of the antibiotics as I can. I think I’d choose to live with asymptomatic inflammation rather than make the leap, but the decision would be harder with stricturing as you are dealing with. I hope whatever you choose to do works out well.

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