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Feb 02, 2017

Struggling to Gain Weight After Gastric Bypass and Ileostomy

This topic is about someone who has been dealing with weight loss after having a high-output ileostomy, which was necessary following a gastric bypass and multiple small-bowel resections. The person is trying to gain weight to be eligible for an ostomy reversal surgery. Here are some helpful tips and insights shared by others:

1. Try high-calorie, high-protein oral supplements with every meal. Some people find that Ensure protein drinks or RESOURCE 2.0 from Nestlé taste better and are more effective than other options. You can also add whey-protein powder to homemade shakes for an extra boost.

2. Blend these supplements into milkshakes to increase the calorie content and improve the taste.

3. Eat many small, frequent meals throughout the day to maintain a consistent calorie surplus. Make sure to include enough protein to help build muscle, not just fat.

4. Consider adding a nighttime feeding, like getting up to eat baby rice cereal mixed with infant formula, to increase your total daily intake.

5. Engage in resistance or light strength training to ensure that the weight you gain is lean muscle.

6. To help thicken and slow down high ostomy output, try snacking on marshmallows, graham crackers, or pretzels.

7. While some have experienced IV lipid infusions in a hospital setting as an aggressive option, most people advise against moving to a feeding tube unless it's absolutely necessary.
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