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Practical steps: Re-measure your stoma at every pouch change while actively losing weight -- stoma size and surrounding tissue can shift more quickly than you expect Switch to a cut-to-fit barrier if you're using a pre-cut, so you can adjust as your body changes Consider a flexible or moldable barrier that conforms better to changing contours Barrier rings and sealing rings can help fill in gaps caused by shifting tissue -- keep these in your supply kit Book a review with your WOC nurse -- this is exactly the kind of change that warrants a professional reassessment, not just troubleshooting on your own Output Changes for Colostomy and Ileostomy Users GLP-1 medications slow gastric emptying -- that's part of how they work