Let's talk about weight-loss strategies after having a total proctocolectomy. This is a surgery where the colon and rectum are removed, and it can sometimes lead to weight gain, as one person experienced, gaining about 50 pounds over seven years. If you're in a similar situation and looking for ways to lose weight safely and effectively, here are some suggestions that might help:

1. Try using the Noom app or program. It approaches weight loss from a psychological angle, making the process more engaging and less daunting.

2. Focus on reducing portion sizes and incorporating regular exercise into your routine. If intense workouts are challenging, start with walking, which is a gentle yet effective form of exercise.

3. Keep a detailed food log to track what you eat. Aim to limit your daily calorie intake to around 1,200 to 1,500 calories, which can help manage weight effectively.

These strategies can be a good starting point for anyone looking to manage their weight after this type of surgery.