Have had my j pouch for over 20 years it was my new normal. About 5 years ago had horrible painful spasms and lose of control. My gastrointestinal doctor who I loved and respected said I needed a specialist and was at cleveland clinic next day. Was told with so many infections pouchitis my j pouch has become weak. Had to stop working and was put on Belladonna /Opium suppositories every 12 hours changed my new normal and put my life emotional and financial in a tail spin. My ins paid for medication and then went on medicare and would not pay for it. It costs 1500.00 a month. Doctors not knowing what medications cost said valium 5mg suppositories which were 2000.00 a month. Help with spasms but not pain . Found compounding pharmacy and it costs me 120.00 a month. Always had hypothyroidism now hashimoto and have gained over 50 pounds not blaming all hashimoto but also not being able to work has not helped. Now I am trying to find a nutritionist that can help me figure out a diet or way of eating for both and help with my hormonal imbalance and now depression. Yes I am a mess. I live in the akron ohio area. Anyone going through this that can give me some words of wisdom? Thanks so much Frances