This topic is about finding ways to ensure you're getting the most nutrients from spinach smoothies, especially if you have an ileostomy. If you notice that your smoothies seem to pass through your system quickly, you might be concerned about whether you're absorbing enough nutrients. Here are some helpful tips and insights to consider:

1. **Site of Absorption**
- Most of the digestion and nutrient absorption, including vitamins from spinach, happens in the small intestine. If your small intestine is intact, you should still be able to absorb nutrients well, even with an ileostomy.
- Vitamin K is usually absorbed in the large intestine, but your body can adapt over time if it's not there.

2. **Portion Size & Drinking Style**
- Try having smaller, more frequent smoothies instead of one large one.
- Sip your smoothie slowly rather than drinking it quickly to give your intestines more time to absorb the nutrients.

3. **Combine with "Binding" Foods to Slow Output**
- Pair your smoothie with starchy or dry foods like graham crackers, cereal, pretzels, or applesauce to help slow down the transit time.

4. **Medications & Supplements to Thicken Output**
- Consider using over-the-counter anti-motility agents like Imodium.
- Soluble-fiber products like Metamucil can also help; try up to 1 tablespoon in 4 oz of water.

5. **Hydration & Electrolytes**
- Alternate between plain water and electrolyte drinks like Propel. Cranberry juice is another option for variety.

6. **Cautions**
- Be aware that coated or time-release medications might not dissolve fully and could pass through unabsorbed.
- Spinach can act as a mild laxative for some people, so keep an eye on how your body reacts.
- Rapid transit might also mean your body is getting rid of excess nutrients once it has what it needs.

7. **Reassurance**
- One person shared that their blood work showed all vitamin levels were perfect, even with similar concerns. This suggests that with these strategies, you can maintain good nutrition.