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Reply to "Supplements and vitamins"

Most J-pouchers have almost all of their small intestine, and will handle capsules, softgels, and coated tablets completely normally. Even most delayed release products are designed to fully release before they get to the colon, so they will often work fine for us. I haven’t seen a good explanation for why some of us don’t absorb vitamin D very well (it’s mostly “mumble mumble terminal ileum mumble mumble”). Folks with rapid transit times can run into trouble with things exiting before fully dissolved/deployed/absorbed. Those with other GI problems may have additional absorption issues, which may get blamed on the J-pouch. And most of us (including me) seem to have developed food superstitions that aren’t well grounded in reality or evidence, except the scant evidence of one or two bad experiences.

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