This topic is about dealing with persistent low immunity after having ostomy surgery. The person who started the discussion has been feeling unwell quite often since getting a stoma and is curious if this is a common issue due to a weakened immune system post-surgery. Here are some helpful insights and advice shared by others:

1. It's important to have a thorough medical follow-up. Encourage your doctor to conduct full blood tests to check for any other underlying issues.

2. Consider the impact of medications and disease factors. Treatments like biologic infusions, such as Remicade (infliximab), and the removal of the large intestine can both affect your immune system.

3. Address any deficiencies found in your blood work:
- Take iron tablets if you have anemia.
- Use Vitamin D3 (not D2) and pair it with vitamin K2 to help with calcium metabolism.
- For Vitamin C, opt for a buffered form like Ester-C (250–500 mg/day) to avoid upsetting your stomach.
- If you have low cortisol, your doctor might prescribe medications like prednisone or dexamethasone.

4. Boost your Vitamin D levels through light exposure:
- Spend time in natural sunlight between 10 a.m. and 2 p.m. during spring and summer.
- In the darker months, consider using a sunlight-simulation lamp, as some people have found it beneficial.

5. Manage absorption and hydration issues that are common after ostomy surgery:
- Increase your intake of fluids and electrolytes; some people have found that mineral salts or occasional IV hydration can help.
- To improve nutrient absorption, try taking a small dose of Metamucil before meals to slow down intestinal transit.

6. Give yourself time to recover. Surgery, chronic illness, immunosuppressants, and nutrient deficiencies can all put a strain on your immune system. It may take several months of rest and balanced nutrition to feel better.