This topic is about dealing with weight loss after undergoing a total colectomy and getting a new ileostomy. The person is concerned about whether this weight loss is temporary and how to regain the lost weight. Here are some helpful insights and advice:

1. It's quite common to experience weight loss after surgery. Your body is still recovering from the shock. Many people have lost significant weight and managed to regain it over a period ranging from 2 to 18 months. Keeping your calorie intake high is important, and weight generally returns as healing progresses.

2. Try to eat as much as you can, focusing on calorie-dense foods and supplements. Consider high-protein or complete-meal drinks like Yfood or Ensure. Enjoy foods you like, such as ice cream or steak and ale pies, as long as they are tolerated. If you get tired of shakes, try changing the texture or flavor.

3. Chew your food thoroughly to avoid the risk of an ileostomy blockage from large pieces.

4. Stay hydrated by maintaining adequate fluid and electrolyte intake, and keep an eye on your output volume.

5. If your appetite is low, consider using a protein or meal replacement drink. Options like Yfood, Ensure, or generic protein shakes can be helpful.

6. To prevent a parastomal hernia, avoid heavy lifting and be cautious with activities like coughing or sneezing without support in the first few months. Wearing a support belt or support underwear can be beneficial, though not guaranteed. The NHS provides custom belts or garments through CUI, where a fitter can visit your home to measure you and help with the prescription process.

7. If you need professional guidance, consider engaging a registered dietitian who can tailor your calorie and protein goals, especially if you have specific dietary needs like gluten-free or lactose-free diets.

8. Remember, recovery takes time and patience. Most people eventually regain their previous weight, strength, and normal diet, as long as they chew their food thoroughly.