Recovering from an ileostomy reversal can be a challenging journey, especially when it comes to regaining your energy levels. If you're feeling fatigued months after the procedure, you're not alone. Here are some helpful insights and advice from others who have been through similar experiences:

1. Consider getting a full blood panel. Fatigue after surgery is often linked to anemia or low levels of certain nutrients.
- Common deficiencies include iron, vitamin B12, and vitamin D3.
- Some people have found significant improvement with B12 injections, high-dose vitamin D3, and multivitamins with iron.
- If you have absorption issues, like short-bowel syndrome, liquid iron might be more effective than tablets.

2. Keep a close eye on your iron levels.
- Iron from food is generally absorbed better than from supplements, so try to include iron-rich foods in your diet.
- If your iron levels remain low, discuss with your doctor the possibility of intravenous or liquid iron supplements.

3. Check your thyroid function. Sometimes, hypothyroidism can cause fatigue similar to what you might experience after surgery.

4. If parts of your stomach or small intestine have been removed, nutrient absorption can be affected. A dietitian can help you adjust your diet and supplements to better meet your needs.

5. If you're experiencing persistent nausea and weight loss, this can also sap your energy. Some people find relief with medications like Zofran (ondansetron) to help manage nausea and make eating easier.

6. Remember that recovery from major abdominal surgery can take time. It's not uncommon to feel exhausted for many months, and some people experience sudden or prolonged energy crashes even a year later. Be kind to yourself, allow plenty of rest, and pace your physical activities as your body continues to heal.