I have (had) severe Crohns and Ulcerative Colitis. I tried various typical medications, the last prior to starting LDN was AZA... which put me in the hospital for side effects. The next 'standard' medication that was viable for me was Methotrexate. However, after the issue with the AZA, and the potential side effects Metho is known for, my GI agreed to trial me on LDN. She even arranged for a local pharmacy to compound for me (the nearest, actually the only pharmacy in Canada at the time which did compound it was in Toronto). I caution anyone trying it not to expect immediate results. In fact, I advise (but I'm not a doctor, have absolutely no medical qualifications whatsoever) folks they should prepare to try it for a full 12 weeks, and there is a good chance they will flare or get worse before they get better. However, I'm given to understand that loading doses for other medications ALSO can take 12 weeks to be effective. If that is the case, then LDN is on par. I really don't understand the mechanics of how LDN does its thing, works its magic. The basics are that you take just enough, at bedtime, to trigger a 'rebound' effect. Bedtime is recommended because otherwise you might experience a feeling of being 'wired'... and some report sleep disruptions. Only side effect I ever encountered were the most wonderful, super-realistic dreams that involved all the senses. And these were heightened senses. Don't know of another drug where, when the side effect goes away, you miss it... and wish it came back. This November will mark 6 years I've been on this drug. No issues, no side effects, no extra intestinal manifestations. Just health. LDN gave me my life back. I work 5, 6 days a week, 10 - 13 hours a day, a physically demanding job... and I'm no spring chicken. The only issue LDN can't resolve is scarring from my disease. I've posted photos of my internal scar tissue (not for the squemish) in another thread on this Forum. Looking at them illustrates the damage this disease can do in a short time... and maybe give you a rough idea of how bad my disease was, OK?
The issue with LDN is that there have been less than a handful of studies... 2 on adults and 1 on children. However, the results of all have mirrored one another. And, they say that LDN is a safe, effective treatment for IBD. In a Norwegian documentary on LDN in another thread, a doctor in Dublin, Ireland, who treats a number of his patients with it (not just for IBD) stated it was safer than taking aspirin. Ireland and Norway have been using it for over a decade. So, it has a history of being used and a pedigree of safety.
Since there have only been a few studies, and it hasn't been FDA approved yet (hope is that will happen next year), doctors are reluctant (at best) to prescribe it. This can be an issue... pursuing LDN may jeopardize your relationship with your doctor. It shouldn't happen.. but it might. If you pursue it, and obtain a prescription, the next hurdle is to find a competent pharmacy to compound it. Not as hard as it used to be. Now there are 3 pharmacies in my city that compound it. So, the list is growing, and growing, OK?
I provide this info simply as food for thought. The choice is yours. The fact is there isn't a safer medication to take that fights CC, CD, UC, as effectively as LDN. Period!