This topic is about a young man who has been living with an ileostomy since he was seven years old. Now at 25, he is finding it challenging to gain weight, which is affecting his self-esteem and social life. His doctor has suggested using Imodium to slow down his digestive process, allowing his body to absorb more nutrients. He is also planning to join a gym to build muscle and is seeking advice from others on how to effectively gain weight. Here are some helpful tips and insights shared by the community:

1. Increase Calorie Density
- Incorporate energy-dense foods like pasta, potatoes, mac & cheese, donuts, teacakes, and chocolate into your diet.
- Add cornflakes topped with fruit cups and use 18% coffee cream.
- Snack frequently and include bananas, chicken, sausages, beans, and other proteins in every meal.

2. Use High-Calorie Oral Supplements
- Consider commercial shakes such as Boost or Ensure.
- Try generic high-protein drink powders from health-food stores. One shake per day has helped others gain significant weight over time.

3. Slow Stoma Output
- Take Imodium (loperamide) before meals, and consult with your doctor about the appropriate dosage for your needs.
- Other medications that might be prescribed include Lomotil, Codeine phosphate, Welchol, Cholestyramine powder, and injectable agents like octreotide.

4. Seek Professional Input
- Request a referral to a dietitian experienced with ostomies or a specialist high-output unit.
- Have your doctor monitor your weight-gain plan to prevent complications such as diabetes.

5. Gym and Lifestyle Tips
- Begin strength training to build muscle, which, combined with extra calories, can help you gain healthy weight.
- Gyms can also be great places to meet new people and build confidence, so approach them with a positive attitude.