This topic is about the challenges some people face after having ileostomy surgery, particularly concerning vitamin B12 deficiency, anemia, and thyroid imbalances. After such a surgery, it's not uncommon to experience these issues due to changes in how the body absorbs nutrients. Here are some helpful insights and advice for managing these conditions:

1. The removal of the colon can lead to a decrease in B12-producing bacteria, which often results in vitamin B12 deficiency and anemia. Doctors usually recommend high-dose oral B12 supplements or regular B12 injections to address this.

2. If the terminal ileum, the part of the small intestine that absorbs B12, has been removed, you might need long-term or even lifelong B12 injections, typically every three months.

3. If you experience thyroid imbalances after surgery, it's important to consult with an endocrinologist. They can help adjust your levothyroxine dosage and check for any other endocrine issues that might be affecting your health.