This discussion is about choosing between juicers and high-power blenders for ostomates who are looking to improve their nutrition. The person who started the conversation has Hirschsprung disease and a colostomy and is currently using a Jack LaLanne Power Juicer. They are considering switching to a Montel Williams HealthMaster because it retains the pulp from fruits and vegetables, which might help with better vitamin absorption and reduce discomfort from gas. They are curious if others have had issues with tolerating the extra pulp.

Here are some insights and advice shared in the discussion:

1. After watching YouTube reviews, it was noted that some expensive machines don't perform as well as expected, while some cheaper ones do a good job.

2. Recommended juicers for their price and easy cleanup include:
- Breville Juice Fountain Plus JE98XL for about $199.
- Breville BJE200XL for about $99, though it has fewer features.
- All Jack LaLanne models, starting around $99, which can make 64 oz of juice and clean up in under 10 minutes.

3. The Montel Williams HealthMaster is a high-power blender, not a juicer. It purées the whole produce, so the drink contains pulp.

4. Some good fruit combinations that have been tried without fiber issues include orange and grapefruit, pear, cantaloupe, and apple.

5. When buying, consider shopping online or at stores like Costco and Macy’s. Compare true juicers, which separate pulp, with high-power blenders, which keep the pulp. Start with small servings to test your tolerance.

6. High-power blenders like the HealthMaster and Vitamix can:
- Deliver more vitamins and minerals since nothing is discarded.
- Reduce the risk of blockages compared to eating whole raw produce, while still providing fiber.
- Help with weight gain and energy, with one user noting significant improvement after an ileostomy.
- Be large and heavy, so plan for counter space. The HealthMaster is priced at about $199.

7. Conventional juicers, such as the Jack LaLanne Power Juicer and Breville models, are appreciated for:
- Fast preparation and cleanup.
- Lower cost, ranging from about $99 to $199.
- Producing pulp-free juice, which some colostomates and ileostomates tolerate better.

8. One member plans to ask their doctor to justify a juicer as a "medical necessity" to avoid TPN, which might be worth discussing with your doctor and insurer.

9. Nutrient absorption basics shared by a knowledgeable member include:
- Most nutrient and water absorption happens in the small intestine.
- The speed of transit, not the absence of the colon, is the main issue for ileostomates.
- Colon bacteria synthesize some B-vitamins, so supplements might still be helpful.

10. Practical tips from several members:
- Everyone's stoma size and gut tolerance are different, so introduce new juices slowly.
- Watch for signs of blockage or excessive output.
- Favor anti-cancer, whole-food ingredients if tolerated, as juicing can help avoid the "white-bread" ostomy diet.

11. Purchasing resources mentioned include:
- The official Jack LaLanne Power Juicer "2-for-1" offer available online.
- General availability for HealthMaster, Breville, and Jack LaLanne units online and at big-box retailers.