No of course you don't and you might not have to! There are several pouchers with Crohn's. Some are on Remicade, others are managing with the lower class drugs. Hopefully, if it is Crohn's, you will find a medical routine that will keep you healthy.
dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free