This topic is about a remarkable fitness journey following ileostomy surgery. The individual involved managed to transform their body and regain strength, demonstrating that intense fitness is achievable even after such a significant medical procedure. Here are some insights and advice from their experience:

- After undergoing ileostomy surgery in January 2023, the person's weight initially dropped to 145 lbs. Through consistent and intense training, they have increased their weight to 185 lbs with a body fat percentage of 15%, aiming for 12% by summer.

- They incorporated supplements like whey protein, creatine, and a pre-workout into their routine to support their fitness goals.

- Their training approach includes lifting heavy weights, working to failure, and achieving weekly personal records, all while managing the stoma. They also focus on core exercises such as leg raises, weighted crunches, planks, and various oblique movements.

- The key takeaway is that intense fitness is possible after an ostomy if you gradually build up your routine and understand your limits.

Additional insights and advice from the community include:

1. Progression after surgery is highly individual. It's important to start slowly and pay attention to your body's signals.

2. Avoid holding your breath during heavy lifts to reduce intra-abdominal pressure.

3. If an exercise feels wrong, switch or stop immediately to prevent injury.

4. The individual has 20 years of training experience and is aware of the higher risks involved when pushing hard.

5. Early post-surgery photos showed significant muscle and weight loss, but the current condition feels much healthier.

6. Some members suggest focusing on core stability before moving on to heavier lifts to minimize the risk of hernias.

7. A slow, staged return to exercise is recommended. Around six weeks post-op, many limit activity to treadmill walking and light movements, with heavier work only resuming after getting surgical clearance.

8. Twice-weekly dedicated core sessions, along with yoga or Pilates, can help protect the stoma area and enhance overall performance.

9. Cardiovascular activities like treadmill walking, outdoor walking, and cardio-drumming can maintain fitness and improve mood when weight training is restricted.

10. Hydration and diet are crucial. For instance, one urostomy patient follows a kidney-stone-prevention diet and drinks 3 liters of water daily, which helped them lose 55 lbs in a year.

11. Staying active post-surgery can combat depression. Setting goals, such as mountain hikes, provides motivation and proves that ostomates can take on challenging adventures.