Dang, the trouble with colonoscopies: anybody who has a colonoscopy while on SCD AND meds has no way of proving what actually caused remission. Was it the diet? Was it the meds? Was it both?
SCD helped my daughter, but there's no evidence, so far, it can keep her from flaring by itself. She was on strict SCD in 2006 while on Entocort, and then when she tried to taper off Entocort, landed in the hospital. Even in the hospital, I kept her on strict SCD by bringing her stuff, but it was the pred that knocked back the flare. After the hospital stay, she continued on strict SCD, along with pred then Entocort, for months before deciding to add potatoes and rice back into her diet (modified SCD) - she did this because she was losing too much weight and because she still had symptoms, which indicated the strict SCD wasn't fully effective.
BUT we do think the modified SCD helped keep her in near-remission for years (symptom-free, stricture gone, and colonoscopy showing more healing despite one or two spots of continued inflammation), because clinical trials show it's highly unlikely just one pill of Entocort can keep you in remission for even one year.
OK, maybe she wasn't on SCD long enough when she landed in the hospital (though Elaine, the author of the book, "Breaking the Vicious Cycle," said it shouldn't take more than a month for SCD to take effect), so now she is on strict SCD again - giving it another try. Her integrated medicine doc, who once ran an SCD trial, thinks SCD will probably, by itself, never put her into full remission. (I'll admit I glared at him when he said this.) We will see.
It would be wonderful if strict SCD, given at least a few months, could enable my daughter to be med-free or get better results from LDN or Pentasa. But if it doesn't, SCD, like any treatment, should not be turned into a religion, where a patient spends years going through all kinds of restrictions, impacting her quality of life, in the desperate hope they might someday help.
Keep letting us know the whole truth. If you had a clean colonoscopy while on Humira, let us know whether you also made any dietary changes, or changes in supplements. If you had a clean colonoscopy while on SCD, were you also on meds? Which ones? The whole story will enable all of us to make better decisions. Even Elaine said SCD doesn't work for everyone, so if it doesn't ever fully kick in for my daughter, we very much need to know the whole story so that we can figure out what next to try.
You might think it's the Humira, the SCD, or a supplement, but whatever you think it is, the truth is that if you are doing any kind of combination therapy, there are at least three possibilities: 1) you are right, or 2) the combination itself is doing the job, or 3) some other element(s) of the combination than the one you think it is, is actually be doing the job. I'm hoping those who think it is SCD are right.
Btw, right now my daughter is on Keflex for a skin infection (the disease itself is directly related to issues with wound healing), which, combined with the Entocort, could cause a yeast infection. Fortunately, SCD helps prevent this side effect.
Post Edited (njmom) : 1/8/2011 8:47:55 AM (GMT-7)