If you've had a 2-step j-pouch, this question is pertaining to the time between the first and second step. If you had a 3-step, it pertains to the time between the second and third steps.
So my j-pouch has been formed and I have a loop ileostomy that reroutes everything before reaching the j-pouch. My question is, since stool is rerouted kind of high up in the digestive tract, is it going through enough ileum? I know that B-12 is absorbed only in the ileum, and I've been feeling pretty unenergetic lately, and I wonder if I'm using enough ileum right now to get proper B-12 absorption. I have to think, though, that my doctor would have anticipated this being a problem if it were.
Thanks guys! I know I'm probably overthinking everything. :\