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Treatment other than antibiotics

Hello all! I have had my pouch about 15 years. I had my first bout with pouchitis in February and every month since. My question for now (more to come I’m sure) is how long before a doctor will move on to another treatment such as biologics? How long did you stay on antibiotics before trying something else? 

Pretty miserable right now. Cipro has worked well but doc wanted to try xifaxan this go round. Seems to be taking much longer to help. My pouchitis causes extreme fatigue, fever and PAIN as well as the potty issues. 

Thanks for any input you can give me!

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