This topic is about finding a comfortable and effective pouching system and hernia belt for someone with an ileostomy and a parastomal hernia, especially for use during gym workouts. The person is currently using a Coloplast SenSura Mio Convex Flip 2-piece system, which fits better than their previous system but has some issues. They are looking for a pouching system without bothersome tabs and a hernia/support belt that is comfortable and secure for weight training.

Here are some helpful suggestions and insights:

1. Belt Recommendations:
- Movibrace belts wrap around the wafer only, not the bag, and provide firmer abdominal support than a Stealth Belt, which is beneficial for weight training.
- Nu-Hope belts, available in 3- or 4-inch widths, have a rigid ring that surrounds the wafer/bag opening and can be customized for flange size, belt width, and length. They also offer a belt with a prolapse strap.
- Stealth Belts are great for concealing the pouch, but some people doubt their ability to provide strong hernia support.
- Additional support garments like the Comfizz ostomy support vest can be worn with a belt for extra hold.

2. Pouching System Suggestions:
- Contact Hollister for alternative pouches designed for active users, as they offer free samples.
- Some users find that the inner liner of Coloplast pouches is thin and prone to pancaking, and switching back to Hollister helped them.
- An experienced ostomy nurse can assess the stoma contour and recommend flanges without protruding tabs or with integrated belt loops.

3. Exercise and Hernia Management Cautions:
- It is advised to limit workouts to low-impact or light-weight routines, as heavy lifting can worsen or create hernias, many of which cannot be surgically repaired.
- Wearing a support belt all the time may not prevent hernias but could protect the stoma from sudden abdominal pressure.

4. General Tips:
- Request free samples from multiple manufacturers like Coloplast, Hollister, and Nu-Hope to test different flange shapes and filter types.
- Ensure the belt or support garment can be tightened enough at the waist to stay snug during movement without cutting into the pouch or wafer.