Diet is so extremely important for a pouch to function at its best. I have had my pouch for 5 years now and through alot of trial and error I have it working well 95% of the time. I find for myself that the more vegetables i eat the better. I eat alot of soft steamed broccoli, cauliflower, and brussel sprouts. I ususlly have 2-3 salads a week. I make green smoothies with baby spinach, ginger, cucumber, plain greek yogurt, peaches with a touch of honey and water. The smoothies get everything flowing easily. I also find that a low carb low sugar diet is the best for me. If i eat too much proccessed food it makes empting very difficult. I try to drink 1-2 glasses if water with each meal. My favorite breakfast is soft cooked oatmeal with blueberries that i heat up in the microwave for a couple of minutes and a nice dollop of real whip cream. Again i would like to stress how important your diet is. I hope this helps.