There seems to be 2 school of thoughts on treatment. One is to start with the most aggressive meds and the other is to start with the most mild and work up from there. It really all comes down to what you are comfortable with and which type of CD you have. My doctor, and I think I agree, believes that leaving the stronger meds in reserve is the way to go.
If you have the stricturing type, then you don't want to take something that will cause more stricturing. But you should always be on some form of maintenance medication. We have a chronic incurable disease which will always be working its little magic on a microscopic level, even if we don't have any symptoms. I learned this the hard way. I self diagnosed at 13, but was treated like I was a bit crazy. My mom had CD so I knew what I was looking at. 10 years later I was finally diagnosed and treated properly, but it took another 10 years to undue the damage that had been done by leaving the disease unchecked for so long.
CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!
Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....