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- Did your doctor perform an endoscopy to diagnose pouchitis?*
- Has your pouchitis been described as:*
- How often have you typically experienced episodes of acute pouchitis?*
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- Have you experienced other complications associated with your J-Pouch?*
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- What treatments have you used for the management of pouchitis and pouchitis symptoms? Choose all that apply:*
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- Please rate the effectiveness of any treatments you have used for the management of pouchitis *
- Do you wish to receive updates on ExeGi's progress?
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- Have you experienced problems associated with J-Pouch
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- Have any of the following medications been prescribed or recommended to you for the management of your J-Pouch? Choose all that apply
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- Please rate the effectiveness of any treatments which you have used to help manage your J-Pouch
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- Do you wish to receive updates on ExeGi's progress?
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- Should be Empty: