Fistula that won't heal.

Remicade has the best track record for fistula healing. Humira may very well work for you though, so it's worth trying for sure. It's a shame you have to jump through hoops, but you might find that Humira works best of all. If not you still have other options at least.

I had one for 3 years and it healed with humira. That was about 3 to 4 years ago. I haven’t had a problem with it since. It really is unfortunate though that you have to follow the insurance’s rules and not your own doctor’s recommendations. I hope what ever you try helps!

This is from The Encyclopedia of Natural Medicine by Michael Murray and Joseph Pizzorno, page 597:
Evidence of zinc deficiency occurs in approximately forty-five percent of Crohn’s disease patients and in similar numbers with ulcerative colitis…many of the complications of the disease may be a direct result of zinc deficiency: poor healing of fissures and fistulas, skin lesions, retinal dysfunction,…

Everyone knows how Crohn’s can impair absorption of vitamin B12, that is why so many here regularly take B12 shots. But Crohn’s can also cause deficiency of other nutrients especially folate and zinc. You can test for blood levels of some of these nutrients. Another sign of deficiency is if your hair is falling out, but losing your hair can have many causes.

So maybe it is a good idea to take a multivitamin that has generous amounts of zinc. Hopefully it may help with slow healing abscesses and fistulas. Just a thought. I don't think it could hurt.

I have a perianal fistula w/ Abcess. Drained Nov 2017. Also iletis with fistulas. Resection surgery Dec 2017. Started remicade Feb 2018. Started with 5mg every 8 weeks. Levels was low. Increased to 10 mg. Every 6weeks now. Have setons in place. Complex horseshoe fistula procedure done. Hoping it heals. Any input appreciated