Thanks Scott F and ScottG.
I was thinking of long-term A/B use on the rest of my GI tract, not the pouch. Good idea to revisit the insurance company. Appreciate the suggestions.
The rest of your GI tract doesn’t really have a microbiome at all. It’s not perfectly sterile, but neither is it the bacterial playground that a healthy colon is. Okay, the first part of the GI tract, the mouth, seems to have an interesting and important microbiome.
I’ve been on antibiotics continuously for about 14 years. Since one of them is Cipro my tendons and aorta occupy vastly more of my attention than my questionable GI microbiome or the real-but-much-less-important antibiotic resistance question.