Topic Explanation
The initial post discusses the lack of energy experienced by the individual due to Crohn's disease and IBD, and the concerns related to exercising with an ileostomy, particularly in extreme sports like BMX, skateboarding, and inline skating.

Replies and Insights
- Lack of energy and extreme fatigue are common in Crohn's disease and IBD, and it's important to listen to the body and rest when needed.
- Stay hydrated, get enough sleep, and consume antioxidant and anti-inflammatory foods to help with energy levels.
- Consider using stoma guards or stealth belts designed for active lifestyles to protect the stoma during exercise.
- Electrolyte drinks can help improve energy levels and slow down watery output.
- Consider getting a nutrient panel to check for deficiencies, particularly B12, vitamin D, and iron, which can affect energy levels.
- Bloodwork can help determine the extent of deficiencies and whether injections may be necessary for certain nutrients.
- It's important to be cautious and consider the potential risks of physical activities, especially after surgery, and to prioritize health and safety.

Conclusion
The discussion provides valuable insights on managing energy levels and safety concerns related to exercising with an ostomy, offering practical advice and suggestions for maintaining a healthy and active lifestyle.