Mine is controlled by diet and managing stress; I had flares after getting diagnosed with new maladies. The flares are abating and will likely be gone once I am off budesonide in a few months. Budesonide has the advantage for microscopic colitis that the collagen layer thins while on it, reversing damage. Chron's is a lot different. If Budesonide doesn't work, then I'll try LDN.