Reading through this thread and thinking I might bookmark it for talking points for my next GI appointment. My Dr thinks I have Chron’s due to inflammation above the pouch but I am loathe to go back on immunosuppressants. I have never been inflammation-free but have felt quite well overall. If my pouch seems to get too upset I feel I can usually bring it back under control with diet and rest. So it seems I have that ongoing “friendly inflammation” that was mentioned? My previous GI would note the inflammation at my scopes but not be overly eager to treat if I felt fine. This new guy is very concerned about it being Chron’s and the long-term implications of chronic inflammation. I don’t know what to think about it 😐