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I went back to my powerlifting and core training pretty quickly, but I started very very light.  I was lifting light weights between each surgery, usually about 4 weeks after surgery.  But I started with about 20% of my previous max, and did very high numbers of repetitions.  I gradually added weight and reduced repetitions.  I also returned gradually to core stretching and training (it was very painful until the scar tissue was all stretched out).   I was back to a 'normal' routine after about 4 months.  However I have never put on my belt, as I am afraid it would hurt my pouch.   I try to empty my jpouch really well and do not eat for a couple of hours before lifting.  I have not had any incontinence, but sometimes I do have bathroom visits between sets.   

Lifting is *not* risk-free for J-pouchers , but folks may judge it worth the risk if lifting is important to them. The usual suggestion is to wait six weeks after abdominal surgery to resume “unrestricted” lifting. A lifting belt can’t harm the pouch, and might help prevent some (but certainly not all) potential injuries.

The most likely lifting injuries related to J-pouch surgery are probably incisional hernias and pouch prolapse. Girlunky’s lower weight/higher rep transitional strategy probably reduces the risk substantially, but some risk persists over the long term. One approach could be to adopt that strategy permanently instead of transitionally. A J-pouch isn’t original equipment - it’s more like a clever Rube Goldberg invention, with some vulnerable attachment points.

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