This topic is about safely lifting weights and exercising with an ileostomy, specifically focusing on using a hip thruster machine and exploring alternative exercises. A 68-year-old gym enthusiast, who has had an ileostomy since the age of 17, is seeking advice and experiences from others in similar situations.

Here are some helpful insights and advice:

1. The hip thruster machine is great for targeting the glutes, but it's important to be cautious. Heavy compound movements for the lower body can increase the risk of developing a parastomal hernia.

2. To safely work the same muscle groups, many people with an ostomy opt for body-weight or light-weight exercises instead of using barbells or machines for hip thrusts, squats, and deadlifts. Glute bridges are a popular alternative.

3. When doing glute bridges, holding a 25-45 lb plate on your chest can add resistance. This method helps strengthen the posterior chain without putting too much pressure on the abdomen, which is crucial for protecting the stoma area.