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I've been on Asacol for years - 12 tabs /day. No side effects, easy to take, but sometimes during flares it fails to release. Release is pH dependent (as are some competing drugs), in my case I think that's the problem. This problem is not well publicized, so doctors aren't aware of it.

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In a double-blind trial, patient with UC had a reduction in symptoms such as bleeding and remained in remission longer than those who took 20 g of ground psyllium seeds twice daily with water compared with those who were on the medication mesalazine alone.

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Patients with fulminant colitis or toxic megacolon should be treated as above; in addition they should be kept nil per os, have a small bowel decompression tube if a small bowel ileus is present, and instructed to rotate frequently into the prone or knee-elbow (302 position to aid in evacuation of bowel gas.

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None of the aminosalicylates has been proven to have greater efficacy than any of the others for the treatment of ulcerative colitis.

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Therefore it may be prudent to defer vaccination of persons with inflammatory eye diseases requiring steroid treatment until the condition resolves and the course of therapy is complete.

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Tobacco use is associated with accelerated clinical recurrence of Crohn's disease after surgically induced remission.

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Despite the use of oral mesalamine treatment in the past, new evidence suggests that this approach is minimally effective as compared with placebo (grade A) and less effective than budesonide or conventional corticosteroids (grade A).

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Currently in the United States there are not too many doctors who perform FMTs, its pretty new for most doctors although their numbers are growing.

As far as everything else you mentioned, my doctor said she'd be supportive of me trying elemental nutrition followed by a LOFFLEX diet or something like that, only cautioning me that it's hard to stick to and when I asked her about whether or not she could prescribe elemental nutrition, she said that she had tried and it's not available.

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An oral probiotic formulation VSL-3 (containing lactobacilli, bifidobacteria, and Streptococcus salivarius) was effective in the prevention of pouchitis for up to 1 year after surgery (353) and in the prevention of pouchitis relapse (354), although benefit has not been as consistently seen in open-label use in other centers (355).

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