Sorry. I just saw your question about the paste. I used the eakin paste, just like you said, only underneath. However, it did not last longer than the ring. I have combined it with the ring too, but it did not increase the use time either. A few times, it was more successful than the ring in terms of sticking, but failed in much shorter time. Difficult to remove too.
What worked best was thickening the output with Imodium and metamucil. However, I made a mistake and took too much Metamucil, which clogged things for half a day, and it was uncomfortable, as I am still post-op with a lot of inflammation and swelling. So go easy with the Metamucil/Imodium. Don’t forget the belt too! I hate the belt now, but it works.