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Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by geerlingguy on Sunday December 05, 2021 @08:20PM (#29455118)
As someone with Crohn's (diagnosed at 17, now have an ostomy), I often see a lot of conflation with IBS, which IBD is most definitely not.

It's interesting, I've been part of some research studies, I've been through a number of surgeries, and I've literally tried every medical treatment that's available (and a couple that may be someday...) with some very good IBD research docs. And I've also seen that diet and lifestyle choices can definitely affect the severity of a flare, especially the feelings and symptoms.

But they cannot 'cure' Crohn's or put it in remission. I currently have inflammation in my mouth, and unfortunately you can't just slice it out to take care of the problem like you can parts of the gut ;)

Anyways, all that to say these studies come and go, a few have a sliver of promise or offer some new route for a researcher to go, but in my few decades of Crohn's experience, I've grown to accept that short of a very significant stroke of luck, there probably won't be a cure in my lifetime.

And if there is, it'll probably crack the nut on a ton of other autoimmune diseases too. Hopefully!

Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by PinkMilkshake on Monday December 06, 2021 @01:03AM (#29456682)
> they cannot 'cure' Crohn's or put it in remission

My partner has had CD since 8 years old. Twice in her life she has been described as "in remission". One being now, as she hasn't had any active disease for a few years.

> And I've also seen that diet and lifestyle choices can definitely affect the severity of a flare

I though the current understanding is there is no dietary intervention for CD. It certainly didn't work on my partner and none of her specialists said it would make any difference.

But I have noticed doctors in different countries have different opinions, so maybe that's the reason?

What ended up "beating" her CD was Stelara (ustekinumab) which is available through the Australian health system (our country of residence) but not in New Zealand (our home country) because their research showed it doesn't work.

Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by geerlingguy on Monday December 06, 2021 @01:15AM (#29456742)
I think you may have read the intended message a bit differently; I was trying to state that diet and lifestyle choices can't cure Crohn's or put it in remission; they may ease symptoms but they don't magically heal people (like some even in this thread would suggest).

I'm currently on Stelara but it seems like it might not be doing much for me :( I'm glad your partner's had better luck with it!

Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by PinkMilkshake on Monday December 06, 2021 @01:37AM (#29456882)
Apologies, I did read it wrong.

I'm sorry to hear it hasn't worked out for you so far. I hope you find some relief in the future, it's a hell of a disease.

Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by wpasc on Monday December 06, 2021 @02:50AM (#29457261)
Ankylosing Spondylitis sufferer here. I wish you the best of health and may HLA-B27 eff right off (assuming you are HLA-B27 positive). I empathize with another comment you made about "Have you tried...?"

Yes. We have. (Advil, Indocin, Sulfasalazine, Meloxicam, Diclofenac Sodium, Remicade, Humira, Enbrel, Curcumin, Vitamin D and also A-Z, Gluten Free, Vegan, Paleo, Whole30, Mediterranean, Yoga, Pilates, Acupuncture, Stem cell injections, Steroid injections, Physical Therapy, Glucosamine, Glutamine, BCAA's, Probiotics, Probiotic foods, electro stim therapy, heat, cold, stretching, Meditation, CBD, CBT, starch free, and probably other stuff I'm forgetting)

Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by wpasc on Monday December 06, 2021 @02:51AM (#29457270)
Not meant to be a negative comment, a lot of stuff helps to some degree. No cures though. to anyone wondering what worked and didnt, just work with your doctor and experiment with your doctor's permission, and be skeptical but hopeful.
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by enimodas on Monday December 06, 2021 @12:02PM (#29462338)
Did you see that guy on, i think on the AS reddit, who did extreme saunaing? You seem to be willing to try things, maybe it's something for you ;)
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by wpasc on Monday December 06, 2021 @01:14PM (#29463457)
hah I have not but I'd like to have a sauna in my future home regardless. Currently I'm in an apt and going to a sauna in nyc is not super appealing to me (cost, friction in working it into my day with having to go somewhere, etc), but when I move to the suburbs I definitely want to get one.
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by enimodas on Monday December 06, 2021 @01:46PM (#29463872)
He's not using a normal sauna, but something with heaters/lamps. I'm not dedicated enough to try it myself: https://www.reddit.com/r/PsoriaticArthritis/comments/es5w6f/...
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by detaro on Monday December 06, 2021 @01:49PM (#29463917)
There also are commercial "apartment saunas", which are basically a tent with some heaters ready-made. Not sure if they fit the specific requirements here, but less improvisation.
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by dmead on Sunday December 05, 2021 @09:43PM (#29455597)
have you tried telling the people who say "have you tried..." to eff off?
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by geerlingguy on Sunday December 05, 2021 @09:50PM (#29455620)
Heh, at this point in my Crohn's journey it's basically background noise.
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by dmead on Monday December 06, 2021 @10:34AM (#29460959)
I can only imagine. The dumbest thing I've ever heard in my life was when a co worker said I should treat my deteriorating heart valves "naturally".
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by sleepysysadmin on Monday December 06, 2021 @09:53AM (#29460387)
>And I've also seen that diet and lifestyle choices can definitely affect the severity of a flare, especially the feelings and symptoms.

Which diets have you tried?

>But they cannot 'cure' Crohn's or put it in remission.

I'm certainly in remission.

>I've grown to accept that short of a very significant stroke of luck, there probably won't be a cure in my lifetime.

The cure exists, it's just not politically acceptable. Society would rather pump you up with crazy meds like remicade or chemotherapy like methotrexate than just do the cure. It took me years to find the cure because politics has poisoned the entire subject. The general advice given for crohns is literally not helping, and in fact probably making things worse.

Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by tsol on Tuesday December 07, 2021 @01:50AM (#29469694)
So what, may I ask, was the cure for you? I consider hearing people out to be a useful thing
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by rp1 on Sunday December 05, 2021 @09:09PM (#29455425)
Just curious: have you tried infecting yourself with parasitic worms that suppress your immune system? That always sounded pretty cool…
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by mushtar on Monday December 06, 2021 @10:53AM (#29461218)
Yes, I have tried that with hookworms.
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by rp1 on Monday December 06, 2021 @11:26AM (#29461701)
How did it go? A friend of my was investigating it for a condition he has.
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by xutopia on Monday December 06, 2021 @04:44AM (#29457848)
Have you tried fungicides?
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by nanonomad on Sunday December 05, 2021 @09:36PM (#29455576)
Have you tried giving things time off to heal with an elemental diet? It wasn't pleasant, but I survived off powdered amino acids, oil capsules, honey and cocoa for a couple months. The commerical/hospital preparations are for tube feeding patients and outrageously expensive.

Look into nicotinic acid, a form of niacin. The "flushing" one. If you supplement with it start slow, get used to the burning sensation. It goes away after a few times.

Avoid biologics unless you absolutely have to

Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by xtracto on Sunday December 05, 2021 @11:40PM (#29456222)
I'll tell you something as someone who doesnt have crohn's but has suffered with IBS and undiagnosed permanent abdominal pain for 25 years:

Yes... we've tried everything, including stupid diets and even FMT. If you've read it on the internets we have likely also . We are mostly aware and thinking 24/7 about our disease. So yeah, whenever someone randomly tells us to try X or Y random thing, most likely we've already tried it, or have pondered it and decided not to. So most similar comments are usually annoying.

Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by tornato7 on Monday December 06, 2021 @02:06AM (#29457026)
I have/had severe Crohn's which I have successfully managed to remission through basically diet and only diet (I had allergic reactions to the common drugs).

90% of people who tell me they've 'tried' dieting haven't really. Have you actually strictly followed an elimination diet for at least a year?

Most people say something like they stopped eating bread for three weeks and it didn't help. But that's not good data. One must eliminate every single source of gluten and dairy (or do something like SCD diet) by studying the ingredient labels on everything they consume, and do this for 1-2 years, with zero cheat days. Most people can't do this.

Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by tylorr on Monday December 06, 2021 @02:09AM (#29457047)
> Most people can't do this.

Which is why

> have pondered it and decided not to

Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by tornato7 on Monday December 06, 2021 @04:22PM (#29465905)
Yes, if biologics work for you with minimal side effects, great. Unfortunately if I get another infusion I will die, so I had to go down another route.
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by tylorr on Monday December 06, 2021 @02:08AM (#29457034)
I have Ulcerative Colitis and biologics are working great for me, I take Simponi.
Re:Crohn’s Disease: Is the Cold Chain Hypothesis Still Hot? by helloworld11 on Monday December 06, 2021 @01:51PM (#29463943)
For how long has it worked so far? I ask because I've known several people who have had certain drugs for UC work for a while, quite well even, and then just randomly stop working, prompting them to seek yet another treatment or blend of treatments. Do you also use any other medication for it?