Topic Explanation
The forum topic is about a person who has had an ileostomy for 12 years and is experiencing hair loss despite taking good vitamins and omegas. The individual suspects that the lack of a colon may be affecting the absorption of nutrients from the vitamins and seeks advice on whether they should take extra vitamins each day.

Advice and Insights
- Consider getting B12 shots.
- Most nutrients are processed in the small intestine, so having an ileostomy should not significantly affect nutrient absorption.
- Have a blood test to check nutrient levels and thyroid function, as hair loss can be related to thyroid issues.
- Thyroid issues can lead to hair loss and should be monitored closely.
- Biotin supplements can help with hair and nail problems.
- Consider taking a quality liquid multivitamin for better absorption.
- Chewable vitamins are recommended as they are easier to absorb than those that take a while to dissolve.