This topic is about finding the best ostomy support belts to prevent the wafer from lifting off the skin, especially when the pouch fills up and becomes heavy. The person asking for advice is three weeks post-ileostomy and is sensitive to strong adhesives, so they are looking for a belt that can help keep the pouch secure without causing irritation.

Here are some helpful insights and advice:

1. **Address Fit and Product Issues**
- Ensure the skin is smooth and the wafer is sealed properly. Consider reducing the wear-time if needed.
- Reach out to manufacturers like Hollister, Coloplast, and ConvaTec for free samples to try different wafers and adhesives.
- Consult with a stoma nurse to check the fit.

2. **Manage Pouch Weight**
- Try to empty the pouch when it is about one-third full to reduce the downward pull.
- Many people with fast-filling ileostomies find this helps reduce leaks.

3. **Explore Support Belt Options**
- Hernia-style belts that wrap around the entire barrier offer strong support. NuHope Labs' Nu-Comfort Belt is highly recommended.
- Hollister offers an elastic ostomy belt that clips onto the plastic tabs of their two-piece flanges. Check if your pouch has these tabs.
- Coloplast also provides a similar tab-style belt and often offers free samples.
- Ostomy Secrets Level-1 wraps and Comfizz support bands offer light, everyday support, are machine-washable, and available on the NHS in the UK.
- Wider elastic belts or abdominal exercise wraps from Amazon or eBay can be a cost-effective short-term option and are easy to return if unsuitable.
- Some appliances come with a narrow "security belt" for mild support that can be worn all day.

4. **Consider Fit and Use**
- Wider belts distribute pressure more evenly and cover the entire wafer.
- Lightweight Level-1 wraps do not compress the pouch or restrict flow; they simply hold the appliance close to the body.
- To use a tube-style wrap, step into it, pull it to mid-thigh, apply your pouch, then slide the wrap over the pouch. You can sleep and use the toilet without removing it.
- The effectiveness of a belt can depend on the stoma's position, so try different styles and widths to find the best fit.

5. **Additional Tips**
- The location of the stoma and body shape can affect which belt works best, so expect some trial and error.
- Ostomy Secrets swim wraps can enhance confidence and provide discretion during activities like swimming or sports.
- Regular light-support belts can also help streamline clothing fit and support mild activity.