I'm uninsured and live in West Africa, where the healthcare is poor. I fly back to the U.S. two times a year for doctor visits—paying cash for everything. While in Africa, I pretty much manage myself. When I flare up, I put myself on a steroid course of 40mg and taper myself off. I currently take Apriso and get a yearly colonoscopy. I have a new gastro doc who wants to put me in a trial this summer to help stop the steroid yo-yo-ing.