This topic is about a person who is struggling to gain weight after having ileostomy surgery. They are feeling self-conscious and worried because they have lost weight since the surgery, and their body is having trouble absorbing nutrients due to the small amount of bowel left before the stoma. Here are some helpful insights and advice for managing this situation:

1. It's common to experience significant weight loss after ileostomy surgery. Many people find it takes between 3 to 12 months, or even longer, to regain weight as the small bowel adjusts.

2. To help with weight gain, try to eat freely and choose foods that are high in calories:
- Opt for full-fat and high-sugar versions of milk, yogurt, and other foods.
- Consider ready-to-drink supplements like Ensure, which are high-calorie shakes available by prescription.
- Use commercial high-calorie powders that can be mixed with milk or water to provide over 1,000 calories.

3. Staying hydrated is crucial, and it's important to replace electrolytes. Products like Liquid IV sachets and O.R.S. effervescent tablets can be helpful.

4. To improve nutrient absorption, work on slowing down the stoma output. Continue or adjust the dosage of Imodium (loperamide) as prescribed, and discuss with your surgical team about other possible medications that can help.

5. Chew your food thoroughly to aid digestion. Remember the mantra: "chew, chew, chew."

6. Regular blood tests are important to monitor your nutrient levels, especially vitamin B12, protein, and general vitamin profile. If the absorption site for B12 was removed, lifelong B12 injections might be necessary.

7. If your weight does not improve after several months, consult your general practitioner to check for other possible causes, such as an over-active thyroid.

8. Some people with long-term ileostomies may never regain their pre-surgery weight but still live healthy lives. Patience and regular medical follow-ups are key.