Who knows if this will continue to work but maybe it will help someone else. I seem to finally have something that works for me and I thought I should share.
Currently I take nothing on a regular basis but if I don't feel right and think pouchitis is brewing this is what I do.
I do a "flush" by having a "liquid diet" of high salt, this is usually Lipton chicken noodle soup from the package with just noodles. I add as much salt as I can. Boulin cubes also work but basically you want a lot of liquid and high levels of salt. One day of this is enough.
Start taking 500mg green tea extract, 2 or 3 times a day. I also take Visbiome/Vsl3, 2 or 3 times a day. This happens when I start the "flush". I do this for a couple days. It's all a bit dependent on how I feel.
No antibiotics needed.
I started using the green tea extract and found it helped control my pouchitis but alone was not enough to get rid of it. The Visbiome was needed to help reset my gut biome, without it I still didn't feel right. Without the flush I also just couldn't shake pouchitis.
I know this won't work for everyone but hopefully it helps someone. Pouchitis was killing me and I let it ruin my life for to long.
Good luck