I was very determined to make EN work, I had a mild case of terminal ileitis recently diagnosed as Crohn's, however immediately as I switched to Modulen 100%, really liked the taste, but I started experiencing bad stomach cramps along with diarrhea 4-5x a day. After a week of soldiering through it, my calprotectin was up 3x my starting value. Since then I have switched to whole foods based exclusion diet using SCD (but even more restricted than that), increased fiber intake, take VSL3 probiotics, and for the first time in years I am experiencing solid stools once a day, no longer having any cramps or pain, and dont have to run to the bathroom. At some point I will try Elemental 028, although my IgE test for milk protein was negative, I still have to exclude all dairy as they cause me symptoms (e.g. a few pieces of aged cheese with no lactose 2 weeks ago) . And when I am in the US I will try the Kate Farms formulation, but very unfortunately they are not shipping to Europe and I am not able to get them here to Spain in any way. It also could be something else in these formulas, as Ensure's non-milk based Almond flavour also didnt sit very good with me (but I didnt stick long with that to be fair, and it did feel better than Modulen). Perhaps its the corn syrup.
I guess what I am trying to say is, compliance is not the only thing in the way of EEN adoption, and in my case made symptoms and inflammation significantly worse than before - and then probiotics, whole food based diet, excluding complex carbohydrates, and indirectly more fiber, is what has helped. Diet has a role to play, but I am still not convinced we understand exactly how. And perhaps the case of Crohn's is actually a combination of different diseases. I wish we would understand more, as I would be very willing to experiment with some home-made shakes, but currently as my symptoms are better than ever I am a bit reluctant to do so.