Building Your Regimen

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How to turn a hundred entries into a list you would actually take. A hundred is a menu, not a shopping list, and this is the part of the guide where the menu becomes a plan. It opens with the situational additions: what to consider first in ulcerative colitis, in Crohn's, in indeterminate and microscopic colitis, in a flare and in remission, after surgery, on steroids and after a J-pouch, because the Five are the Five for everyone and everything after them depends on where you are. Then stacking and sequencing: one new thing at a time, on a stable foundation, with a budget tier for every wallet, and the reasons a regimen that leans gently on many mechanisms beats one that leans hard on one. Then the interactions table for the IBD medications, consolidated so your team can read it in a minute. Then the four questions I ask before anything goes in the cabinet, and, for the first time in print, my own protocol and the thinking behind it, with a sample of how I move it up and down through a flare and the as-needed drawer I keep for bad days. A page on using AI to build a protocol well, and the full capability matrix, a hundred entries against five mechanisms on two pages, close the section and the guide. Bring the result to your gastroenterologist as a table. A table is harder to dismiss than a bag of bottles.