vsl/orange juice

The instructions say "any cold, non-carbonated beverage..." OJ should be fine. You can still get pouchitis while using VSL, though. Perhaps it's that? Your description is pretty brief, so I'm just guessing.

Thanks, my dr. said i dont pouchitis. I just dont get why after 25 years my pouch or my bowels change. Food goes through me with in about 4 or so hours, i am guessing its food my system doesnt want to digest.

Are you trying thickeners (e.g. Metamucil, Benefiber, Citrucel) and/or slowers (e.g. Lomotil, Imodium)? Those are usually the first things to try.

Your post raises two different issues, one is VSL being taken with orange juice, the other is whether the pouch function can change over time. There is a whole thread on the latter issue which you should read:

http://j-pouch.org/eve/forums/...921/m/3087013076/p/1

There is some thinking that the pouch becomes more colonic in nature over time causing change in the way the immune system treats it. I have had my pouch 22 years and my function has changed in the last few years although I am still able to treat my issues.