Topic Explanation:
The discussion revolves around the challenges of weight gain following an ileostomy, a surgical procedure where the small intestine is diverted through an opening in the abdomen. The original poster, who underwent the procedure due to severe ulcerative colitis, shares their struggle with regaining weight post-surgery. They detail their initial weight loss from 75 kg to 55 kg and their subsequent efforts to increase their weight through high-protein diets and supplements. Despite these efforts, they've faced difficulties in surpassing the 64 kg mark, especially after contracting a stomach bug. They seek advice and personal experiences from others on how to effectively gain weight after an ileostomy.

Advice and Insights from Replies:
1. Nutritional Absorption Challenges:
- Ileostomy can lead to minimized weight gain due to reduced intestinal absorption time, impacting calorie intake. Foods that pass quickly through the system, like raw carrots or popcorn, can exacerbate this issue.
- Consulting a nutritionist can provide tailored advice and possibly daily supplementation recommendations.

2. Dietary Adjustments:
- Incorporating high-calorie, nutrient-dense foods like shakes and low glycemic bars can help in maintaining a balanced intake and managing hunger.
- Focusing on quality carbohydrates (oats, jacket potatoes, rice) alongside high-protein foods can aid in healthy weight gain. Adding calorie-dense snacks like peanut butter or strips of cold meat between meals can also be beneficial.

3. Meal Frequency and Content:
- Eating small, frequent meals can help manage the quick digestion process typical in ileostomy patients.
- Some have found success with specific protein supplements and structured meal plans that include regular, nutrient-rich meals and snacks.

4. Physical Activity:
- Engaging in regular exercise, particularly strength training, can help in building muscle mass and improving overall body composition.

5. Medical and Supplemental Support:
- Discussing medication options with a healthcare provider that can slow down digestion might be beneficial for some, aiding in better absorption of nutrients.
- Regular monitoring of blood work can guide the adjustment of vitamin and mineral intake to address specific deficiencies.

6. Personalized Approaches:
- Since individual responses to ileostomy vary greatly, experimenting with different foods and dietary strategies to see what works best for one's specific health condition is crucial.
- Continuous dialogue with healthcare providers, including dietitians and doctors