This topic is about using certain fiber and laxative-type products for people with an ileostomy. An ileostomy is a surgical opening created to allow waste to exit the body from the small intestine. The discussion revolves around whether products like Citrucel, Magnesium Glycinate, and Metamucil are helpful or necessary for managing an ileostomy. Here are some insights and advice shared by people with experience:

1. The general principle for managing an ileostomy is that the output already moves quickly, so the focus should usually be on thickening or slowing it down rather than stimulating transit. Staying well-hydrated is crucial.

2. Citrucel:
- No one in the discussion has tried Citrucel with an ileostomy, so there is no direct feedback available.

3. Magnesium Glycinate and Other Magnesium Salts:
- Some people take magnesium glycinate to correct low magnesium levels, but it can have a laxative effect, which is usually not desired for someone with an ileostomy.
- One person manages the laxative effect by taking Imodium (loperamide) to balance it out.
- An alternative suggestion is to switch to magnesium oxide, which generally does not have the laxative side effect.

4. Psyllium Fiber (Metamucil and store brands):
- Many people regularly use psyllium, such as Metamucil or store-brand equivalents, to manage their ileostomy.
- Benefits include thickening the output, reducing the frequency of pouch emptying, evening out stool consistency, and lessening watery effluent.
- A nurse practitioner recommended psyllium to slow transit and improve nutrient absorption, resulting in fewer emptying needs.
- A long-term user with IBS and a urostomy finds that Metamucil keeps stool regular, and stopping it leads to constipation or diarrhea.
- For preparation, mix the powder in water. The taste is generally acceptable, especially when blended into smoothies with ingredients like banana, almond milk, and protein powder.

5. Laxatives Warning:
- True laxatives are generally not recommended for someone with an ileostomy. If the output stops, it's important to first look into hydration and diet.

6. Imodium (loperamide):
- This is mentioned as the first-line medication to slow down output when necessary or to counteract the looseness caused by magnesium.