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Cipro and Flagyl are inexpensive medications even without insurance. If you can get a prescription from a low-cost clinic or by phone from a doctor who knows you you might be able to treat the pouchitis properly without breaking the bank. If you go this route I’d recommend pricing the drugs in advance using goodrx.com so you can pick the right low cost pharmacy.

Hi all, I’ve been suffering from bloating and diarrhea as well as all the lovely sounds that go along with those problems since my last revision in 2018. I live in Germany and they’re extremely conservative about prescribing antibiotics which means they won’t give me more than a two week supply which I personally think causes more problems than it helps.  All this to say, I wasn’t getting much relief then on a whim I bought some powdered spirulina and began making a smoothie with one heaping teaspoon every morning. Within a couple of days I noticed that my symptoms had improved dramatically. It’s only been about 2 weeks but so far it seems to be keeping the worst of my symptoms at bay. I’ve googled spirulina  and it turns out it’s not actually an algae as most articles claim but a bacteria, so maybe it’s fighting the bad bacteria? Probiotics used to work for me until this last revision.  Has anyone else had any experience with spirulina?

“spirulina is a cyanobacteria. Cyanobacteria have traditionally been classified as algae, referenced as cyanophytes or blue-green algae, but today some treatises exclude them from algae.”

The spirulina supplement that’s sold isn’t viable organisms, just “biomass” from dead organisms, so it’s not a probiotic that could compete with gut microorganisms. Nevertheless, spirulina has been studied in IBD and showed some benefit in a mouse model of UC.

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