Topic Explanation:
The discussion centers around challenges faced by individuals with an ileostomy, specifically focusing on issues related to taking vitamins and difficulties in gaining weight. The original poster mentions experiencing black stools when taking multivitamins, which they suspect might be due to iron content. They also struggle with regaining weight and maintaining a good appetite following emergency surgery. The poster is seeking advice on these issues and mentions considering liquid vitamins as a potential solution.

Advice and Insights:

1. Black Stools and Vitamins:
- Iron in multivitamins is known to cause black stools. If iron is not needed, consider switching to a vitamin without iron.
- Some suggest trying liquid vitamins or oral sprays as alternatives to traditional pills.
- Gummy vitamins and chewables may absorb faster and could be a better option for some.

2. Weight Gain Strategies:
- To gain weight, increase calorie intake by consuming more high-calorie foods like ice cream, pie, butter, bread, cheese, and nutritional or protein drinks.
- Adding ground flaxseed to food can be a good source of vitamins.
- Incorporate more carbohydrates and snacks between meals, such as nuts or high-fat cheese.
- Consider using protein shakes and adding powdered milk to foods like eggs.
- Eating several small meals a day can help increase calorie intake.

3. General Tips:
- It's important to consume more calories than expended, especially for those with an ileostomy, as food may pass through the system quickly.
- Maintaining a healthy lifestyle and ensuring nutritional needs are met is crucial, even if weight gain is slow.
- Consulting with a dietitian can provide personalized guidance on increasing calorie and protein intake.
- Staying active and gradually increasing physical activity can improve overall well-being and appetite.