Topic Explanation:
The forum topic is about a person who has had a stoma for 6/7 months and is experiencing constant hunger pains, even after eating a balanced diet. They are seeking advice on whether they are eating the wrong foods or if they need supplements.

Advice and Insights:
- Consider a high protein, low carb diet, and low residue foods to manage hunger.
- Incorporate protein into every meal to keep hunger pangs at bay.
- Protein sources can include meat, legumes like lentils and chickpeas, and peanut butter.
- Consume good fats in small amounts such as olive oil, avocados, and nuts.
- Limit simple carbohydrates like refined sugar and flour, and focus on complex carbohydrates like whole grains for longer satiety.
- Consult with a dietician to learn how to eat properly, especially with an ostomy, as it can be frustrating at times.
- High output with a colostomy may lead to poor nutrient absorption, so a dietitian can help set a proper diet plan.
- After a bowel operation, the body needs time to adjust and adapt to the new normal, and seeing a dietician specializing in bowel issues is crucial.
- Not all dietitians are equally knowledgeable, so it's important to find a good one who specializes in the relevant area.

Insights from Replies:
- The person had diverticulitis for years, underwent keyhole surgery, and eventually had a colostomy due to a ruptured join and severe complications.
- Not all dietitians are equally knowledgeable, and finding a good one specializing in the relevant area is crucial.
- The first dietitian experience was disappointing, and it's important to find a knowledgeable and helpful professional.