This topic is about dealing with anemia and low ferritin levels after having an ileostomy. The person sharing their experience is concerned about not absorbing enough nutrients, as their food seems to pass through their system without being fully digested. They are seeking advice from others who might be facing similar challenges. Here are some helpful tips and insights:

1. Incorporate iron-rich foods that are easier to digest, such as kale, spinach, other leafy greens, olives, and mulberries. Blending these into cold smoothies can help with absorption and reduce the need for chewing.

2. Be vigilant for signs of hidden blood loss. Look out for blood or very dark output in your pouch. Certain foods, artificial sweeteners, and some medications might cause bleeding, so it's important to identify and avoid your personal triggers. If you suspect bleeding, consult a gastroenterologist.

3. Understand that ileostomy surgery can significantly impact iron absorption. Many people with long-term ileostomies need regular blood tests and may require periodic intravenous iron infusions. Regular follow-ups with a hematologist are highly recommended.

4. Anemia is a common issue after an ileostomy. Keep your surgeon or primary doctor informed so they can determine if you need supplements, infusions, or other treatments.

5. Ensure you are getting enough protein and calories to support hemoglobin production. Consider protein supplements, like peanut-butter-flavored protein bars, but be cautious with soy-based powders if gas is an issue. Avoid restricting calories during recovery.

6. Meal-replacement drinks, such as Ensure, can be beneficial. Drinking one or more daily can help maintain your nutrition and support your iron and protein intake, especially when eating solid food is challenging.