Topic Explanation:

The forum discussion revolves around the use of weight loss drugs, such as Ozempic and Wegovy, by individuals with ostomies. The original poster is seeking experiences and insights from other ostomates who have tried these medications to determine their effectiveness and safety.

Advice and Insights:

1. Experiences with Weight Loss Drugs:
- Some users reported successful weight loss with drugs like Ozempic and Wegovy, noting significant appetite suppression and reduced need to empty their ostomy bags.
- Others experienced severe side effects, such as constipation leading to colon rupture, blockages, and gastrointestinal issues, which in some cases resulted in emergency medical situations.

2. Concerns and Cautions:
- Several participants expressed concerns about the potential for these drugs to mimic conditions like gastroparesis, which could lead to blockages, especially for those with ileostomies.
- There is a warning about the high cost of these medications and the reluctance of insurance companies to cover them.

3. Alternative Approaches:
- Some users advocate for traditional weight loss methods, such as calorie restriction and exercise, though acknowledging the challenges for those with physical limitations.
- The carnivore or ketovore diet was suggested as an alternative, emphasizing low carbohydrate intake and high protein consumption.

4. Medical Advice and Personalization:
- It is recommended to consult with healthcare providers to tailor weight loss strategies to individual needs, especially considering the unique challenges faced by ostomates.
- Some users found success with other medications like Phentermine, which helped suppress appetite without severe side effects.

5. Nutritional Considerations:
- There is a caution against extremely low-calorie diets, which can lead to malnutrition and are not sustainable long-term.
- Emphasis is placed on the importance of maintaining a balanced diet that meets nutritional needs while managing weight.

6. Personal Stories and Outcomes:
- Participants shared personal stories of both success and failure with weight loss drugs, highlighting the variability in individual responses.
- Some users noted improvements in related health conditions, such as diabetes, while others experienced setbacks like weight gain after discontinuing the drugs.