Surgical PreoperativeOptimization.
Prepare your body for surgery with physician-designed supplement protocols backed by clinical research. Reduce complications, improve recovery, optimize outcomes.
Why Optimize Before Surgery?
Reduce Complications
Perioperative hyperglycemia, infection, wound complications, and ICU length of stay are significantly reduced with proper metabolic and immune optimization.
Accelerate Recovery
Better wound healing, reduced pain/swelling, improved immune function, and faster tissue repair mean you return to normal activity sooner.
Optimize Anesthesia Safety
Improved cardiovascular function, better respiratory health, controlled blood glucose, and proper immune status reduce anesthetic risk and complications.
Evidence-Based Approach
Every supplement in these protocols is backed by randomized controlled trials. Not guesswork—proven science integrated into surgical prep.
Four Targeted Protocols
Customized 8-week supplement programs designed for different surgical patient types. Choose based on your health profile.
Metabolic Optimization
Pre-Diabetes & GlucoseControl blood sugar, reduce surgical infection risk.
If you have elevated glucose, insulin resistance, or pre-diabetes, metabolic control is critical for surgical outcomes. This protocol reduces perioperative hyperglycemia and wound complications.
Key Supplements:
- •Berberine 500 mg 3x daily
- •Myo-inositol 2-4 g/day
- •Ceylon cinnamon 1-2 g/day
- •CoQ10 200 mg daily
- •Omega-3 fish oil 2-3 g/day (pause week 6)
- + 9 more
Expected Outcomes:
- ✓HbA1c reduction: 0.5-1.5%
- ✓Weight loss: 5-15 lbs
- ✓Improved glucose tolerance
- ✓Reduced triglycerides, improved lipid profile
- ✓Enhanced metabolic flexibility
Cost: $120-180/month
Duration: 8 weeks pre-op
Cardiovascular Optimization
Heart HealthReduce cardiac risk, improve perioperative outcomes.
For patients with hypertension, high cholesterol, or cardiac risk factors. Cardiovascular optimization reduces perioperative myocardial ischemia and arrhythmias.
Key Supplements:
- •CoQ10 200-300 mg daily
- •Berberine 500 mg 3x daily
- •Omega-3 2-3 g/day (pause week 6)
- •Aged garlic extract 600-1200 mg/day (pause week 6)
- •Magnesium 300-400 mg evening
- + 5 more
Expected Outcomes:
- ✓Blood pressure reduction: 3-8 mmHg
- ✓Triglycerides: 20-30% reduction
- ✓Improved endothelial function
- ✓Enhanced cardiac efficiency
- ✓Reduced perioperative myocardial ischemia
Cost: $100-150/month
Duration: 8 weeks pre-op
Smoking Cessation & Respiratory Optimization
Lung HealthQuit smoking safely with NRT, reduce respiratory complications.
Smoking is the single most important modifiable risk factor for surgical respiratory complications. This protocol supports cessation and restores lung function.
Key Supplements:
- •Nicotine replacement (patch 21 mg → 14 mg → 7 mg)
- •NAC 600 mg 2x daily
- •Bromelain 500 mg 2x daily
- •Curcumin 500-1000 mg 2-3x daily
- •Vitamin C 500 mg 2x daily
- + 3 more
Expected Outcomes:
- ✓Smoking cessation achieved
- ✓CO and carboxyhemoglobin normalized
- ✓FEV1 improvement (lung function)
- ✓Reduced cough, improved oxygenation
- ✓Dramatically reduced perioperative respiratory complications
Cost: $80-120/month
Duration: 8 weeks pre-op
Wound Healing & Tissue Repair Optimization
RecoveryAccelerate healing, reduce infection, improve scar quality.
For all surgical patients. This protocol continues pre-op and 4 weeks post-op to optimize tissue repair, reduce infection risk, and improve wound outcomes.
Key Supplements:
- •Zinc 25-30 mg daily (50 mg post-op temp)
- •Vitamin C 500-1000 mg daily (2x post-op)
- •Collagen peptides 10-20 g daily
- •Vitamin D3 3000-4000 IU daily
- •Probiotics 30-50 billion CFU
- + 4 more
Expected Outcomes:
- ✓Faster wound epithelialization
- ✓Reduced post-op pain and swelling
- ✓Lower infection risk
- ✓Improved scar quality
- ✓Enhanced tissue strength
Cost: $100-160/month (pre and post-op)
Duration: 8-10 weeks pre-op + 4 weeks post-op
The Process
Initial Consultation
30-minute video consult. We review your health history, current medications, labs, and surgical timeline. Assess your risk factors.
Protocol Selection
Based on your profile, we recommend a targeted protocol (metabolic, cardiovascular, respiratory, or wound healing) with specific supplements and dosing.
Amazon Shopping List
You receive a custom checklist with Amazon links for every supplement. All products are verified, affordable, and ready to order. Typical cost: $100-180/month.
Weekly Check-ins
Brief check-ins at weeks 2, 4, 6, and 8. We verify adherence, answer questions, adjust protocol if needed, and recheck baseline labs at week 6-7.
Pre-Op & Post-Op Support
Final pre-op call to review what to discontinue. Post-surgery, we adjust protocol for enhanced wound healing and recovery (weeks 1-4 post-op).
Safety & Surgical Guidelines
DISCONTINUE 5-7 days pre-op
- ⚠Omega-3 / Fish Oil (antiplatelet effect)
- ⚠Garlic extract (antiplatelet)
DISCONTINUE 3-5 days pre-op
- ⚠Glucomannan (bowel obstruction risk)
- ⚠NAC high-dose (bowel prep timing)
DISCONTINUE 1 day pre-op
- ⚠Magnesium high-dose (mild laxative)
SAFE TO CONTINUE through surgery
- ✓Berberine
- ✓Zinc
- ✓Vitamin C
- ✓Vitamin D3
- ✓Curcumin
- ✓CoQ10
- ✓L-Carnitine
- ✓Collagen
- ✓Probiotics
Important: All protocols are designed to work safely with standard anesthetics. We communicate directly with your surgeon and anesthesia team about what you're taking.
Ready to Optimize?
Schedule a consultation to assess your surgical risk factors and design your personalized preoperative protocol. We'll guide you through every step.
Schedule Your ConsultationConsultations: 30-minute video call • $250
Protocols include 8-week supplement plan, weekly check-ins, lab rechecks, and pre/post-op support