I don't know about
that particular study, but in my experience medical reports and doctors don't exaggerate - if it says you have "profound thickening", then you probably do. If your GI thinks you have a fairly severe case of Crohn's, then you probably do.
Only a minority have genuinely mild Crohn's. For that subset they don't need to be on biologics. For the rest of us, the disease will get worse over time; scar tissue will develop, strictures & fistulas form, etc. We ought to be on biologics. If you've already got thickening/narrowing at diagnosis, then you are in the group of people with Crohn's who ought to be on a biologic.
Diets can help with symptoms, but there's zero evidence that they can halt the progress of Crohn's. As for probiotics, save your money for the biologics: there's little evidence for the use of probiotics in treating Crohn's. If you need to go on antibiotics, that's the best time to take a course of probiotics.
Budesonide is safe for up to 6 months. It's a topical steroid (i.e. it works on the gut lining and doesn't get into the bloodstream). That massively reduces the severity of side-effects compared to prednisone, which is a systemic steroid and acts on the entire body. I've been on budesonide a few times and had no issues with it.
Best of luck. I'm sorry about
your diagnosis, but I do think you ought to start on a biologic now rather than later.
Dx Crohn's in June 2000. (Yay )
Tried: 5-ASAs, azathioprine, 6MP, Remicade, methotrexate, Humira, diets.
1st surgery 20/2/13 - subtotal colectomy with end ileostomy.
2nd surgery 10/7/15 - ileorectal anastomosis. Stoma reversed and ileum connected to the rectum.
Current status: Chronic flare. Do I have any other kind?
Current meds: 50mg 6MP; Entyvio (started 3/11/16)