The topic at hand is about managing steady weight gain after ileostomy surgery. This is a common concern for many who have undergone the procedure, as changes in diet and activity levels can lead to unexpected weight changes. Here are some insights and advice shared by others who have experienced similar challenges:

1. **Normal Physiological Changes**
- After ileostomy surgery, the small intestine may absorb more nutrients, which can slow metabolism and lead to weight gain, especially in the first couple of years.
- It's normal to feel low on energy for 6-12 months post-surgery, so patience is key.

2. **Reviewing Calories, Portions, and Meal Patterns**
- Some people find they eat larger portions once eating becomes comfortable again. Using smaller plates, weighing food, and having 5-6 smaller meals a day can help manage weight.
- Focusing on portion sizes rather than cutting out entire food groups can be effective.

3. **Exercise Suggestions**
- Activities like daily walking, using a treadmill, or light running can help maintain weight once energy levels improve.
- Start with short, manageable activities, like 10-minute walks, and avoid heavy lifting until medically cleared.

4. **Professional and Peer Support**
- Programs like Weight Watchers have been helpful for some, allowing them to lose weight by choosing softer fruits and vegetables and balancing with tolerated carbohydrates.
- Consulting a dietitian familiar with ostomies can provide personalized dietary plans.

5. **Food Tolerance Tips**
- Incorporate well-cooked vegetables, puréed soups, and blended fruits to reduce fiber and prevent blockages.
- Foods like summer squash, lamb-and-veg soups, bananas, and peeled or seedless fruits are often easier to digest.

6. **Managing Carbohydrate and Sugar Cravings**
- Cravings are common post-surgery. Strategies include avoiding high-sugar foods at home, drinking flavored herbal teas, and ensuring each meal has enough protein.
- Addressing mood and medication history can also help manage cravings.

7. **Hydration and Electrolytes**
- Staying hydrated with water and sodium-containing fluids can prevent confusion between hunger and thirst and support metabolism.

8. **Vitamin and Medication Considerations**
- Some find that B-vitamin injections boost energy if oral absorption is an issue.
- Medications like Lyrica and high-dose steroids can contribute to weight gain, so discussing these with a doctor is important.

9. **Supplements and Meal Replacements**
- High-calorie drinks like Ensure can help regain weight initially but should be reduced once weight is stable.
- Protein shakes can be beneficial for those still underweight but should be included in daily calorie counts.

10. **Adjusting to Changes in Body Shape**
- As the body changes, re-measuring the stoma and consulting with a nurse for appliance adjustments can improve the fit of the pouching system.

11. **Emotional and Body Image Support**
- Many find weight gain more challenging to accept than the ostomy itself. Sharing feelings, seeking counseling, or joining support groups can help improve self-esteem and body image.

These shared experiences highlight the importance of a balanced approach, combining mindful eating, gradual exercise, and professional guidance to manage weight after ileostomy surgery.