This topic is about the use of weight-loss medications, specifically GLP-1 drugs like Ozempic, Wegovy, and Mounjaro, for people with ostomies. The discussion centers on whether these medications are helpful or harmful for individuals with ostomies, especially when exercise is limited due to medical conditions like foot surgery.

Here are some insights and advice shared by people with ostomies who have experience with these medications:

1. Positive Experiences:
- Some individuals have reported significant weight loss and reduced appetite while using Ozempic, with minimal side effects like brief nausea.
- Users of Wegovy have also experienced weight loss without adverse effects, although the cost can be high and insurance coverage may be limited.
- Mounjaro has been praised for appetite suppression and weight loss, though some users have experienced constipation.
- Phentermine has helped some people lose weight with mild side effects such as insomnia.
- A benefit noted by several users is that less food intake can lead to fewer pouch emptyings, which is convenient.

2. Cost and Insurance:
- The cost of these medications can be significant, with prices varying by location and insurance coverage.
- Some users have faced challenges with insurance approvals, especially for related procedures like excess-skin removal.

3. Negative Experiences and Cautions:
- There have been reports of severe side effects, such as constipation leading to serious complications like colonic rupture.
- Some users have experienced blockages or gained weight while on these medications.
- General warnings include the risk of slowed gastric and intestinal transit, which can lead to constipation or obstruction, particularly in those with pre-existing motility issues.
- It is advised to start with the lowest possible dose and increase slowly, while closely monitoring stool frequency and consistency.
- Always consult with a knowledgeable physician, especially one familiar with ostomies, and avoid time-release formulations if motility is unpredictable.

4. Diet and Lifestyle Alternatives:
- Some individuals have successfully managed their weight through strict calorie logging using apps like FatSecret.com.
- Diets such as carnivore or ketovore (very low carb) have been praised for promoting satiety and fat loss.
- Moderate-calorie plans are recommended, while very low-calorie diets are discouraged due to the risk of malnutrition.
- Light resistance exercises, like using dumbbells, are suggested for those with lower-body limitations.
- Phentermine is mentioned as a more affordable short-term option for weight management.

5. Key Takeaways:
- While many people with ostomies have successfully lost weight using these medications, there are real risks of gastrointestinal complications.
- It is important to start with low doses, increase slowly, stay hydrated, and maintain close medical supervision.
- For those who cannot tolerate or afford these drugs, structured diet tracking and low-carb eating patterns, along with doctor-supervised alternatives, remain viable options.