This topic is about a 71-year-old man who has been living with an ileostomy for 14 years after a total colectomy. He is curious about trying a strict carnivore diet to lose weight and is seeking advice from others who have similar experiences. He also faces challenges with regular exercise due to spinal stenosis.

Here are some helpful insights and advice:

1. Health Monitoring
- It's important to keep an eye on cholesterol levels.
- Consider having micronutrient blood work done at least once a year, as ostomates might need supplements to make up for reduced absorption. Sublingual supplements are often recommended.

2. Diet Execution
- Remember, the carnivore diet is not the same as Keto; you can still overeat and gain weight.
- Stick to the carnivore diet rules by eliminating all carbs and processed foods, eating normal portion sizes, and stopping when you feel truly full.
- Combining the carnivore diet with intermittent fasting might help speed up weight loss and promote healing. There are many resources available online to guide you.
- If you find that your weight loss has stalled, consider reducing your total food intake.

3. Activity
- Any increase in movement can help with calorie balance. Try to adapt your activities to accommodate your spinal limitations.

4. Personal Experiences
- One person with a post-surgery ileostomy eats mostly red meat, either hunted or fished, and reports having ideal output consistency.
- Another individual followed the carnivore diet for years before their ostomy and now eats a modified diet that is low in wheat, gluten, and dairy but high in saturated fats. They have excellent HDL levels according to their primary care physician and nephrologist.
- A surgeon once advised an ileostomate to "eat whatever you want."

5. Alternative Approach
- The Paleo diet is suggested as a sustainable lifestyle choice that can help with weight management. You might want to check out "The Paleo Diet" by Dr. Loren Cordain for more information.