Topic Explanation:
The discussion centers around the use of loperamide (Imodium) for managing diarrhea in individuals with an ileostomy, particularly when dealing with low magnesium levels. The original poster, Terry, is experiencing issues with magnesium being flushed out due to diarrhea caused by magnesium supplements. Terry is considering using loperamide to manage diarrhea but is concerned about its effects on someone without a colon.

Advice and Insights:

1. Loperamide Usage:
- Loperamide is effective for slowing down output and thickening it, even for those without a colon.
- Start with the lowest dose to see how it affects you, as it is fast-acting and wears off quickly.
- It can be taken once or twice a day, depending on individual needs and doctor's advice.
- Some users take it regularly, while others use it as needed, such as before meals or trips.

2. Fluid and Diet Management:
- Avoid excessive fluid intake, as it can lead to dehydration and loose output.
- Mix up fluid intake with water, hydration mixes, and non-diuretic drinks like orange juice and iced tea.
- Consider foods that retain moisture, such as boiled potatoes and root vegetables, to help manage output consistency.

3. Magnesium and Supplements:
- Monitor magnesium levels and symptoms like muscle cramps or sleep issues, which can indicate low magnesium.
- Experiment with the timing of magnesium supplements and loperamide to find a balance that works.

4. Additional Tips:
- Psyllium fiber may help normalize output for some individuals.
- Be cautious of over-flushing the system with too much plain water.
- Consider using marshmallows to slow output temporarily.

5. General Advice:
- Consult with a doctor to tailor the approach to individual needs and ensure safe use of loperamide.
- Consider adding loperamide to a repeat prescription for cost savings.