Boulder Plastic Surgery
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Informative Video - Nutrition

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Guideline For Vitamins and Supplements
For Your Surgery

We believe that good nutrition is an important component to excellent surgical outcomes. Please review the following guidelines and begin appropriately.

THE BASICS PROTOCOL
Multiple studies show that most Americans aren’t getting the recommended daily intake of necessary vitamins and minerals much less the optimal amount. These suboptimal levels of nutrients have been linked with major diseases from heart disease to cancer.

PRE & POST SURGERY PROGRAM
We use a three phase healing program to help you recover more quickly and with less downtime. We have you start this a week or so ahead of time to ensure that your are boosting your body’s immune system and removing anything that could interfere with anesthesia or increasing bleeding time. Immediately following surgery we give you nutrients that help reduce pain and inflammation and detoxify the anesthesia and other meds. The third phase has additional healing nutrients to support your recovery.

Call our office for an appointment with Sue Van Raes, M.S. our practice nutritionist, at least 2 weeks prior to your scheduled surgery for a consultation and review of peri-operative nutritional needs.

*ALL SUPPLEMENTS ARE INCLUDED IN OUR PROGRAM. YOU WILL RECEIVE THE SUPPLEMENTS DURING YOUR FIRST NUTRITION CONSULTATION

PHASE l
Start a approximate 2 weeks prior to surgery
Multivitamin: High potency, Antioxidant-rich, mineral-rich vegetable source.
2 tabs per day
Vitamin C: Promotes wound healing, protects against bruising; antioxidant protection.
2- 500 mg capsules per day.
Zinc/Glutamine/Q-avail: High tissue concentrations of these nutrients prior to surgery aids in faster healing time and in the rebuilding of tissues.
Zinc: 1 tsp twice a day
Glutamine: 1 tsp twice a day
Q-avail soft gels: 1 tab twice a day
GPC: GlyceroPhosphoCholine is a nutrient that helps protect the brain when undergoing anesthesia. 1 tab twice a day

Supplements to AVOID to assure safety
Ginger, Garlic, Ginko, Cayenne, Bilberry, E (over 800 IU): Can inhibit clot formation.
Ginseng: Causes episodes of hypertension and rapid heartbeats.
St. John’s Wort: Can prolong the effects of narcotic drugs and anesthetic agents.
Ma Huang or Ephedra: Can cause high blood pressure, irregular heart rates, insomnia, nervousness, tremors, headaches, seizures, heart attacks, strokes and death.
Kava Kava and Valerian: Have tranquilizing properties and should not be used with other sedatives.
Yohimbe and Licorice Root: May increase the potency of anesthetics
Melatonin: Decreases the amount of anesthesia needed for surgery.
Fish oils and Flax oils: Inhibit platelet adhesion and aggregation; excessive doses can inhibit wound healing.

PHASE ll Acute Post Surgery

CoQ 10: Stimulates cell growth 1 tab twice a day
Glutamine: Helps prevent tissue/protein catabolism (breakdown) after surgery
1 tsp twice a day
Arginine: Helps in wound healing and stimulates collagen.
1 tab three times per day
Grape Seed: Reduces collagen breakdown by inhibiting enzymes that degrade collagen.
Grape seed is a natural anti-inflammatory and is also neuro-protective.
1 tab three times per day
GPC: Neuro-protective nutrient post anesthesia 1 tab twice per day
MSM: Helps minimize bruising, pain, swelling, and scar tissue.
2 tabs twice per day
Vitamin C: Essential vitamin that aids in wound healing and collagen.
2 capsules per day
Glucosamine: Glucosamine is an important building block needed by the body to manufacture specialized molecules required for wound healing.
1 tab twice per day
Arnica 30X: Homeopathic; helps reduce discomfort, bruising, and swelling of soft tissue.
(Not included in your supplement package)
Milk Thistle: A cleansing herb that supports the liver (as needed)
To avoid constipation, drink fluids, eat fruit, and supplement with Milk of Magnesia, or Smooth Move Tea, or laxative of choice.

PHASE lll 2 to 8 weeks post surgery as needed for healing

Grape Seed Supreme: 1 tab three times a day until bottle is gone
Zinc: 1 tsp twice per day
Vitamin C: 2 tabs twice per day
MSM: 2 tabs twice per day

Inflammatone: Natural anti-inflammatory that helps minimize pain and swelling.
2 tabs twice per day on empty stomach
Krill Oil: Essential vitamin that aids in wound healing and collagen synthesis.
2 tabs twice per day

For other questions or concerns call Sue Van Raes, M.S. 720/289-6254

Dr. Kuisle & Dr. Hartley
303-443-2277ASPS