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My pouch was done in 2004 and almost from day one I was taking 2 Immodium pills 4 times daily to slow things down. That's a whole lot of Immodium, almost 3000 every year. I occasionally reduced the amount when taking other meds like antibiotics or statins because they also slowed things down. Recently I had hernia surgery and to prepare for it I thought pooping might be easier if I added Metamucil because bearing down was going to be difficult and anything that softened things up would make it easier. It was a life saver. I've continued the teaspoon every morning and with that I've cut down the Immodium by 90%. I consider myself a fool for not at least trying it out years ago.

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I was lucky that my surgeon suggested Metamucil upon my hospital discharge. It’s certainly an easy and very low risk thing for any J-poucher to experiment with. A teaspoon is a fairly low dose, and trying various amounts up to the dose suggested on the packaging can be worthwhile to find the sweet spot. I hesitate to be specific about the dose, because the different formulations (e.g. sugar-sweetened vs. sugar-free) contain different amounts of psyllium per unit volume.

@Scott F posted:

(e.g. sugar-sweetened vs. sugar-free) contain different amounts of psyllium per unit volume.

I am not sure if you know this but Metamucil now offers a formulation sweetened with Stevia, which is a natural sweetener:

https://en.m.wikipedia.org/wiki/Stevia

https://www.vitacost.com/metam...BwE&gclsrc=aw.ds

I got the 23.1 ounce bottle at Walmart for much cheaper than what is shown above. I think it was $14.99.

Last edited by CTBarrister

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