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So I've finally had enough. I've had my ileostomy for two years. I Constantly eat because everything goes right through me (I have a horrible ileostomy that doesn't slow down no matter what). I try eating low fat or fat free snacks and just one meal, but I still gain lots of weight. I get severely out of breath easy now that I have the ileostomy, so working out really won't work. What are some other techniques to lose weight? I have enough self-esteem issues with this ostomy, and I hate having to buy new clothes constantly because they get too tight.
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I had to go to a medically managed weight loss program to lose weight. Just because everything seems to go right through you, obviously you get plenty of nutrition from it. So, you cannot think that way. It takes only about 30 minutes for adequate digestion.

 

Studies have shown that non-fat and low fat diets don't work because you wind up over compensating with other calories that become excess weight. Exercise is useful for weight loss only in respect to keeping your metabolism up when you drastically reduce your calories. The main key ingredient is significant reduction in calories, with small frequent meals, so you do not get hungry. Keep portions small, and meals balanced, and drink lots of non calorie fluids.

 

I lost 65 pounds over 6 months, and half of that time was on 900 calories/day. Over the years I have gained back half that weight, but I know it is not because I do not exercise enough. It is because I eat too much.

 

Jan

Walk 10000 steps a day. Cut out sugar (they cause diarrhea anyways), avoid artificial sweeteners.  Switch from whites to brown...brown bread, brown rice, whole wheat pasta.  Increase the veggies you can tolerate.  Add berries to your diet.  Aim to eat protein at every meal (fish especially salmon, white breast chicken & turkey, lean cuts of meat).  Avoid packaged processed foods, eat real food. 

 

I would not recommend 900 calories a day...it's not enough fuel for your body.  You need a minimum of 1200...too low and you start burning muscle and will lose metabolism.  Best to lose it slow...too fast and you'll gain it back.

An ostomy by itself imposes no limit on exercise. Lack of conditioning can limit us, and it can take hard, patient work to recover our exercise tolerance after surgery. If we're dehydrated a bit, or chronically ill that can also make exercise quite difficult. The best exercise is whatever you're most likely to stick with, whether it's walking or riding a bike or lifting weights or doing a variety of things. Just progress slowly, and make sure you're well hydrated.

 

I did find that exercise helped me lose weight, but it was mostly because the exercise kept me out of the kitchen, and I also ate lightly when getting ready to exercise.

For me the best exercise was walking. It was something I could do without special equipment or training or even leaving my neighborhood. I eventually got a treadmill, though. 

 

Yes, 900 calories is very low, and that is why I mentioned that it was medically managed. It was run by MDs and Registered Dieticians. I had to exercise some every day to keep the metabolism up. The whole point of the drastic measures is to start with some rapid weight loss, which is a powerful motivator. After 12 weeks, we gradually introduced regular food (the first 12 weeks was all meal bars and shakes- boring!). 

 

The most amazing thing I learned was how little I needed eat to actually be healthy. But, I still struggle with my portions. Focusing more on fresh fruit and vegetables and high quality protein and avoiding carbs as much as possible has been very helpful. I just wish I was not such a foodie!

 

Jan

I'll take some of that weight! No joke. I will have had my permanent 2 years in October and I'm stuck at 148.  Serious. I can't gain. I can't lose either which is good.  And I eat alot.  But like poucho said. I don't want it all in my midsection. If I turn sideways you can't see me!  My friends throw that joke at me.  But they are friends so I take it as a joke.  But it does make me self conscious about my weight.  

After this long and no progress I've pretty well accepted that this is where I will be.  

Just the  flip  side of the coin.  Not  so great either. 

Richard. 

When I left the hospital after my j-pouch surgery in 1993 I weighed 103 pounds. I looked like a skeleton. At first I had no appetite and had to force myself to eat. Eventually the appetite returned and I was in the habit of eating even when I wasn't hungry. Twenty years later, and a few years into menopause I topped out at 156. That was more than my highest pregnancy weight of 152. I read a book called Mindless Eating and started making some changes based on ideas from this book. I bought smaller dishes to use for ice cream . I use the bigger ones for soup and salad. I started drinking tea or water with a splash of lemon in place of sodas. I try to keep the fresh fruits and veggies convenient and the junk food where it requires effort to get. It took about 5 years to get back to 127 but it hasn't been that hard. Small changes can make a big difference over time.

Annikki posted:

Unfortunately as we age our metabolism slows down.  It's really up to you whether or not you choose to eat in a more healthy manner.  Diet is 80% of the battle.

Is it our metabolism or do we become less active....... We no longer run for the bus or dash up those stairs, we walk at a leisurely pace that's comfortable, yet our consumption of food and drink, whether junk food or not, remains the same.

Once the unwanted body fat has been amassed, unless accompanied by a strenuous exercise programme, calorie counting, smaller portions and bowl size will take forever to lose the fat.

Eating when not hungry can be a sign of dehydration, our brain confuses the signs of thirst with that of hunger, so we eat, normally accompanied with a drink, which provides a tempory fix; I've experienced this my self.

I say fat, as thats what creates the body size and weight of what we want to lose.

I'm slightly heavier than what I'm comfortable with, I dont technically need to lose weight but I do need to shed body fat and tone up; therefore, it's not necessarily weight that I need to lose but fat, which does equate to weight; although what fat I burn off, will be offset by muscle mass, thus I'll probably weigh the same as when I started when I've shed the flab.

This is the same for everyone, not just sportsman, athletes or bodybuilders.

Last edited by Former Member

I am neither fat nor thin but fit...since I'm a professor I get summers off...and I spend 3hrs/day working out in the pool. I climb stairs at home (very, very slowly...up to 60xs a morning...) and mix it up with pilates  and yoga...doing more or less daily according to my pain level (I am never without pain, I just push through it as best I can and sometimes it eases my pain).

I am a compulsive sugar-a-holic who binge eats ice cream and chocolate...so I fight my weight daily since I have no self control .

It is a balancing act....I don't eat solids before noon, just water, juice, coffee and some fruit mid-mornings....that allows my pouch to clear out and rest my system daily...this is not for everyone but it works for me.

I try to avoid sugars before late afternoon most days...and eat healthy meals 8/10 times.

This is how I fight the good fight...a "balance" between intake and output... pleasure and responsibility...what I eat versus what I burn...and as much muscle as I can build (not much at my age) through non impact sports and passive resistance. 

Most of the time I avoid sodas, fried foods,  prepared and junk foods...that pretty much leaves me with home cooked and healthy quick foods (natural yogurts, whole grain breads, real cheeses, fruits, nuts and veggies)...

I am no angel but know that I was born with 3 strikes against me and have an uphill battle to get healthy.

Everything in moderation including moderation.

Sharon 

 

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