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Nov 19, 2018

Dieting with an ileostomy - Need advice on limited food options and portion control

This topic is about managing diet and weight with an ileostomy, which can be quite challenging due to limited food options and the need for small portion sizes. The person sharing their experience has gained weight due to long-term steroid use and illness, and is looking for effective weight-loss strategies that accommodate their ileostomy. Here are some helpful suggestions and insights from others who have faced similar challenges:

1. High-Intensity Interval Training (HIIT): This involves short bursts of intense exercise followed by rest periods. It's effective for burning fat even after the workout is over. Activities like gym circuits or alternating between fast and slow walking or jogging can be suitable.

2. Interval Walking Routine: One idea is to take a 4-mile walk around the neighborhood, alternating between brisk walking, a slower pace, and short bursts of running in place at each street corner. This can be a fun and adaptable outdoor workout.

3. Joining a Gym or Using a Personal Trainer: This is recommended for burning calories, toning muscles, and boosting confidence. A personal trainer can help tailor exercises to accommodate an ostomy.

4. Special K Diet Products: Some have found success using Kellogg’s Special K protein shakes, cereal, and snack bars as meal replacements, combined with protein-rich foods like chicken and fish, and cooked or steamed vegetables. It's important to start with small portions of new foods, avoid fried foods, and stay hydrated.

5. 5:2 Fast Diet (Intermittent Fasting): This involves eating normally for five days a week and limiting intake to about 500 calories on two non-consecutive days. It can be effective while allowing for ostomy-friendly food choices.

6. Daily Time-Restricted Intermittent Fasting: Eating all meals within a 5-hour window each day has helped some people lose weight, increase energy, and boost their immune system without causing any ostomy-related issues.

7. Band (Lap-Band) Adjustment: For those who have had bariatric surgery, adjusting the gastric lap-band can be an option to help manage weight post-ostomy.

8. Hydration: Staying well-hydrated is crucial, as ostomates can dehydrate easily. Drinking plenty of water also helps control hunger.

9. Mental and Emotional Benefits: Regular exercise and achieving small dietary successes can improve mood, body image, and self-confidence, alongside physical results.
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