@frh Konsyl is what I started with 40+years ago. i think it was the only thing on the market back then, and my GI doc recommended it. I have switched to the Walmart plain psyllium powder. It is very similar to Konsyl at about half the price. Do you take Vsl#3? I’ve been taking it for about 6 months now and I think I’ve got my pouchitis under control. It is expensive, but if it works, it’s well worth the cost.