The topic is about managing liquid output from an ileostomy while following a ketogenic diet. After undergoing two ileostomy surgeries, the person gained some weight and decided to try a strict keto diet, which involves consuming about 20 grams of carbohydrates per day, with the rest of the diet made up of protein and healthy fats. In just 12 days, they lost 11 pounds, but noticed that their ileostomy output became very liquid, leading to skin irritation. Previously, they used foods like cereal, oatmeal, pretzels, and applesauce to thicken their stool, but these are not suitable for a keto diet. They are looking for advice on how to manage this issue while staying in ketosis.

Here are some helpful insights and advice:

1. Be patient during the adjustment period. Many people on Atkins or keto diets experience changes in their output initially. The consistency and gas levels usually stabilize as the gut adapts.

2. Give the diet some time before making any judgments. A significant reduction in carbohydrates can temporarily increase fluid secretion.

3. If you experience appliance leakage or skin irritation, changing your pouch more frequently can be a practical short-term solution.

4. Keto diets can reduce intestinal gas compared to higher-carb diets.

5. When choosing a diet, pick foods you genuinely enjoy and can maintain. Overly strict plans can lead to dissatisfaction or cheating.

6. Successful weight control depends on total intake. Any diet should balance nourishment, enjoyment, and portion control.

7. Combining dietary changes with regular physical activity, tailored to your abilities, can help manage weight and improve overall health.

8. A member with Type II diabetes manages their condition effectively on a keto diet and is willing to share ileostomy-specific tips privately.

9. Another member suggests that using elements from two different diets can provide enough variety and might consider pairing keto with another plan.