This topic is about someone who had an ostomy reversal and hernia repair two years ago and is now dealing with a noticeable abdominal bulge, often referred to as a "Buddha belly." Despite efforts to lose weight and get back in shape, they are struggling with this issue and are seeking advice from others who might have experienced similar challenges.

Here are some helpful insights and advice:

1. Track your actual calorie intake:
- Keep a detailed food journal, as it's easy to underestimate how many calories you consume daily.
- With your current activity level, aim to stay at or below about 1,500 calories per day. Remember, it takes a deficit of 3,200 to 3,500 calories to lose one pound.

2. Give muscle-building some time:
- It's common to experience muscle loss after surgery, and rebuilding those muscles can take longer than expected.
- Working with a personal trainer for just three weeks is not enough time to see significant changes. Progress will be slow and steady, especially considering your medical history.

3. Consider age-related fat distribution:
- Doctors note that as people age, fat tends to gather around the former stoma site, which is common among ostomy patients.
- Consistent exercise can help reduce some of the abdominal fat, but it requires patience.

4. General encouragement:
- There are no quick fixes. Persistence with a balanced diet, accurate calorie tracking, and gradual strength training is essential.