Thank you for your reply, JMarc. I'm not on any med other than potassium. Have zero symptoms, only 4 daily movements and feel great. Pouch just had its 27th birthday. On my last scope there was some ulceration at the inlet and some inflammation in the pouch. Have been taking curcumin & boswellia after reading several studies on NIH site. Am hoping these are helping but won't know till next scope. I certainly don't want to take biologics or other meds if I have no symptoms.