Assuming that you, and your family, and the rest of the nation will likely receive similar instruction, we have 100 million borderline-scorbutic surgical patients every year. However, readers are encouraged to write in with their viewpoints. I always instruct my patients to discontinue all multi-vitamins, aspirin, ibuprofen, and herbal supplements at least 3 weeks before surgery. FOR IMMEDIATE RELEASE There is not a nutrition textbook ever written that does not say how important vitamin C is for wound healing. https://en.wikipedia.org/wiki/Wikipedia:Articles_for_deletion/Robert_Cathcart), Other Wikipedia deletions of physicians who use nutritional therapy: http://orthomolecular.org/resources/omns/v06n18.shtml, Orthomolecular medicine uses safe, effective nutritional therapy to fight illness. In their personalized how-to-prepare-for-surgery instructions, both the surgeon and the hospital made a point to order me to stop taking vitamins. The Right Time To Take Vitamin C. As with most supplements, when and how you take your vitamin C … Generally, patients should stop these drugs four days before the colonoscopy, but they should ask the prescribing doctor how many days before the procedure they should stop taking them. fish oil, EFA, flax seed oil, Krill oil), NSAID's (aspirin, ibuprofen, naprosyn), Vitamin E, "blood thinners" and a whole host of supplements and medicines can cause excessive bleeding and bruising and therefore increase your recovery time. Orthopedic surgeon Robert F. Cathcart III successfully treated over 20,000 patients with very large doses of vitamin C, sometimes administering over 200,000 mg per day. In my practice, I always recommend my patients to suspend all multi-vitamins, aspirin, ibuprofen, and herbal supplements at least 3 weeks before surgery. Ralph K. Campbell, M.D. ), For many more papers on vitamin C therapy as used for many years by many physicians: http://www.seanet.com/~alexs/ascorbate/, Andrew Saul is, with Abram Hoffer and Steve Hickey, coauthor of Hospitals and Health: Your Orthomolecular Guide to a Shorter, Safer Hospital Stay. Answer: Take supplements with caution I always instruct my patients to discontinue all multi-vitamins, aspirin, ibuprofen, and herbal supplements at least 3 weeks before surgery. Fiber supplements include psyllium, glucomannan, methylcellulose, flaxseed, wheat dextrin, calcium polycarbophil, and inulin. Always best to check with your surgeon regarding pre and postop instructions. It is not intended as medical advice. Do not take any supplements, herbs, vitamins, or minerals before surgery unless your provider said it is OK. Bring a list of all your medicines to the hospital. You probably already know you need adequate amounts of Vitamin C in order to fight off colds and flu as well as have healthy gums – but did you know that you shouldn’t take Vitamin C before … The University of Maryland Medical Center explains that vitamin C may be effective in decreasing the risk of developing hypertension and certain types of cancer. One of the arguments against taking large amount of Vitamin C was the risk of kidney stones. What silly advice. Fish Oil. Patients awaiting surgery should get at least 1.2 to 2 grams of protein per kilogram of body weight per day. Do not crush, chew, or break an extended-release tablet. })(window,document,'script','https://www.google-analytics.com/analytics.js','ga'); Get the details on the next vitamin to avoid taking before surgery now. You will increase your chances of excessive bleeding, problems with clotting, and this could lead to a hematoma. Supplements. You may take acetaminophen (Tylenol) as needed for minor aches and pains. Take Approved Supplements. : Discuss any vitamins and supplements with your surgeon. Generally speaking, when taking vitamin C supplements, it’s probably best not to exceed 2,000 milligrams each day. Generally, a mutlivitamin and vitamin C are fine. 1 week (7 days) before any surgery, as instructed by the doctor who prescribed Effient for you. STOP taking the following medication(s) on the date(s) listed: multivitamin (multivitamin)1 tab(s) Oral once a day ascorbic acid (vitamin C)500 Milligram Oral once a day." Carolyn Dean, M.D., N.D. (USA) m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m) ga('send', 'pageview'); Information on Orthomolecular.org is provided for educational purposes only. Consult your orthomolecular health care professional for individual guidance on specific health problems. Look for Vitamin C that is time-release and pure (that is, not mixed with any bioflavonoid or anything else). . Some offices carry a medical grade version of arnica montana called SinEcch which works very well. Medical Hypothesis 7:1359-1376, 1981. http://www.doctoryourself.com/titration.html (Bowel tolerance is the indicator of the effective dose of vitamin C needed for healing. When in doubt stay away from supplements unless they are designed for surgery. Gert E. Schuitemaker, Ph.D. (Netherlands) (USA) The ascorbic acid dosing page of the Mayo Clinic website reports that: “For heart conditions, 2 grams of vitamin C has been given by mouth before surgery, followed by 1 gram daily for five days.” Though you can supplement with as much as 2,000 milligrams of vitamin C per day, most doctors recommend somewhere between 50 and 200 milligrams if you need a supplement. Video of Dr. Cathcart: https://www.youtube.com/watch?v=VkkWDDSti_s or at https://www.youtube.com/watch?v=PKD3BXL8ESA if you scroll in about 5 minutes. Dynamic flow: A new model for ascorbate. Erik Paterson, M.D. Swallow it whole. They wrote the following: "Discontinue all nutritional and herbal supplements one week prior to surgery. It is important to think about scar visibility before embarking on your surgical journey. Interesting Facts About Vitamin A; 8 Side Effects of Too Many Calcium Supplements A short biography of Dr. Cathcart is posted at http://orthomolecular.org/hof/2008/cathcart.html . Do not stop Nonetheless, it is important to discuss all preoperative dietary supplements with a health care professional prior to any surgery or procedure. m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m) If you're confused about which medicines to take the night before or the day of surgery, call your doctor. ), Vitamin C, titration to bowel tolerance, anascorbemia, and acute induced scurvy. To prepare for your surgery or procedure, your doctor has asked you to avoid certain medicines, including aspirin and aspirin-like products, non-steroidal anti-inflammatory agents, and other medicines or supplements. (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o), (Austria) Examples of anti-coagulants include warfarin, Coumadin and heparin. Damien Downing, M.D. Measure liquid medicine with a special dose-measuring spoon or medicine cup. In some cases, a physician may extend the time to four days, but it is important for patients to communicate with their doctors to determine the best cessation timeline for them. Related Articles. Vitamin C gum may be chewed as long as desired and then thrown away. http://www.doctoryourself.com/ckorea2008.html (Summary of doctors who have used large doses of vitamin C to treat pneumonia, hepatitis, cancer, cardiovascular disease, and other serious illnesses. (USA) Email: omns@orthomolecular.org This is a comments-only address; OMNS is unable to respond to individual reader emails. W. Todd Penberthy, Ph.D. (USA) Peter H. Lauda, M.D. Each surgeon may have preferences, and will likely present you with a list of medications to avoid. Consult your orthomolecular health care professional for individual guidance on specific health problems. Some vitamins, especially vitamin E, are blood thinners and definitely should not be taken before and right after surgery. Thank you for your question. Patients should avoid herbal supplements in general prior to surgery because they can cause bleeding or other operative complications. Robert E. Jenkins, D.C. (USA) (USA) Vitamin C is the best friend a surgeon will ever have. posted by Jeff Sutherland @ 8:45 AM Martin P. Gallagher, M.D., D.C. (USA) Michael Ellis, M.D. It … OMNS urges every reader to hand a printout of this important paper to their doctors. The capital letter emphasis on "stop" was THEIRS. The National Institutes of Health experts recommend that men get 90 milligrams of vitamin C a day; women should aim for 75 milligrams. They are found in products such as Metamucil®, Citrucel®, and Benefiber®. Vitamin C is also vital to your body's healing process.An antioxidant, vitamin C might help protect your cells against the effects of free radicals — molecules produced when your body breaks down food or is exposed to tobacco smoke and radiation. ga('create', 'UA-16632634-4', 'auto'); Jorge R. Miranda-Massari, Pharm.D. For more information: http://www.orthomolecular.org, To locate an orthomolecular physician near you: http://orthomolecular.org/resources/omns/v06n09.shtml. Stop using ginkgo at least 2 weeks before a scheduled surgery. Free radicals might play a role in heart disease, cancer and other diseases. Well, Maybe a Bit Lower. Most do not know that. before a colonoscopy, you should stop taking vitamins or other supplements. ga('create', 'UA-16632634-4', 'auto'); Some supplements should be avoided for at least a few days before the colonoscopy. Drink plenty of liquids while you are taking Vitamin C. The chewable tablet must be chewed before you swallow it. Even low-dose supplementation is immeasurably better than nothing. This treatment approach has been ignored for 35 years. This is unedited. (United Kingdom) ... • Your doctor will decide how long you should take Effient. https://ozgeergun.com.tr/en/tummy-tuck-surgery-f-a-q/, http://drnichter.com/breast-augmentation/. ), Hickey DS, Roberts HJ, Cathcart RF. Unless you eat a lot of fish, you probably aren’t getting the full benefits of fish oil. Actually, … Jagan Nathan Vamanan, M.D. Atsuo Yanagisawa, M.D., Ph.D. (Japan). He may discontinue some of them for the surgery. This is the only herbal supplement you should take before and after surgery. If you’re experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Orthomolecular Medicine News Service, August 24, 2015. Omega 3 fats (e.g. Not a big deal: a routine outpatient hernia repair, caused by sure-I-can-lift-that-extremely-heavy-box syndrome, the tendency towards which is almost certainly carried on the Y chromosome. It is not intended as medical advice. A tummy tuck (abdominoplasty) is one of the more painful and longer recoveries when it comes to cosmetic surgery. But for that crucial week before surgery, they tell you to stop even 500 mg/day. And, I stopped taking vitamin E 800 IU/day and my omega 3/fish oil supplements about 8 days before, as these are known to increase clotting time, and extra incision bleeding you do not need. There is no way I am willing to risk infection, slow healing, or even excess pain: in the first 23 hours postop, I took 150,000 mg of vitamin C. Even at that amount, I did not reach bowel tolerance, the indicator of oral-dose saturation. Grant, Ph.D. (USA)  I generally tell patients to plan on being not themselves for about 6 weeks. Food to stop before … Bo H. Jonsson, M.D., Ph.D. (Sweden) more 1 week i have tummy tuck, i always take vitamin,c,e,collagen supliment and multi vitamin, can i take or must avoid first? Ask your doctor before using vitamin E. Taking Vitamin E orally should be avoided at least 2 weeks prior to surgery as it can increase the risk of bleeding according to the Mayo Clinic. ... which can help your body heal from surgery. If you'd like a true second opinion, reading his work is well worth your time. A general rule is to stop taking these potentially unsafe preparations at least two weeks prior. Recommended dosage: 500 to 1000 milligrams of vitamin C a day in the week before surgery. Patients should not take vitamin E preparations before surgery. Your surgeon should provide you with a complete list of medications to avoid as well as discuss what medications you are currently taking to be sure none need to be stopped. The information on RealSelf is intended for educational purposes only. Rivaroxaban is a type of medicine known as an anticoagulant, or blood thinner. Although nutrient supplements are usually beneficial, you may need to stop taking certain herbs, omega fatty acids, vitamin C and vitamin E before surgery. https://www.newhealthadvisor.org/supplements-to-avoid-before-surgery.html The drip should provide 20 grams of vitamin C in every 24-hour period, from the time a patient goes into surgery until the IV is removed. Vitamin C Is Great But…NOT BEFORE Your Dental Appointment By Dr. Charles Clements, D.D.S. 3100 North Hillside Avenue, Wichita, KS 67219 USA I am a big believer in arnica montana to reduce bruising and swelling after surgery. does vitamin c interfere with general anesthesia and if it does when should i stop taking it before surgery? (India) Vitamin D: Especially in orthopedic surgery, vitamin D deficiency hampers proper recovery. Have your vitamin D levels checked before surgery, and supplement with 2000-5000 IU of Vitamin D3 per day accordingly. Vitamin E: While vitamin E is known to be a blood thinner at high doses, most studies suggest that these effects don’t emerge if you take less than 400 International Units (IU) per day. ga('send', 'pageview'); A Report from the Front. Dr. Orrin Ailloni-Charas answered. And therefore we should stop taking even a measly 500 mg/day of vitamin C, for a full week before surgery? If healing is going well I usually let my patients go back to their usual regimen of supplementsCheck with your doctor as only your doctor would have access to your medical history and what would be best for you. Karin Munsterhjelm-Ahumada, M.D. These can seriously increase the odds for bleeding during surgery. This guarantees postoperative complications, some of which are life-threatening. If you smoke, add 35 mg to those values. Perhaps it is just as well that they did not know that I continued to take tens of thousands of milligrams of vitamin C per day, every day, in preparation for the procedure. What would it take to get people on a very low-cost vitamin D supplement? Vitamin C is ok to take but not necessary. })(window,document,'script','https://www.google-analytics.com/analytics.js','ga'); Vitamin C is ok to take but not necessary. This is unedited. These daily totals were in divided doses, of course, but I was still taking thousands of milligrams per divided dose. That debate has been laid to rest by a large study showing no increase in kidney stones from Vitamin C and a significant reduction in kidney stones from increased Vitamin B6. Two weeks before surgery, start taking 500 mg of Vitamin C once or twice a day. This page lists medicines and supplements (by generic and trade names) that you should avoid to prevent bleeding problems. What Surgeries & … J Orthomolecular Med, 20:4, p 237-244, 2005. http://orthomolecular.org/library/jom/2005/pdf/2005-v20n04-p237.pdf (On why dividing the dose of oral vitamin C is so important. Australian Nurses Journal 9(4):9-13 March, 1980. Vitamin C high-dose therapy for major diseases. Reader comments become the property of OMNS and may or may not be used for publication. A tummy tuck (or abdominoplasty) will improve the contour of the abdomen by removing excess skin and fat and tightening the abdominal muscles. 1 week before surgery. It may cause extra bleeding during and after surgery. If you’re persistent, you may be able to convince your son’s doctors to go along with this plan, but I’m afraid you’ll have an uphill battle. STOP taking the following medication(s) on the date(s) listed: multivitamin (multivitamin)1 tab(s) Oral once a dayascorbic acid (vitamin C)500 Milligram Oral once a day.". Andrew W. Saul, Ph.D. (USA), Editor and contact person. Many of those on the list will interfere with blood clotting. (OMNS, Aug 24, 2015) Over 100 million Americans will undergo surgery this year, and I was one of them. (Puerto Rico) To protect against raised blood pressure and increased bleeding, we ask that one week before your surgery you stop taking: Ginkgo biloba; Ginseng; Garlic; Vitamin E; Vitamin C; Fish oil; Other herbal supplements; 24 hours before surgery You should likely hold your vitamin E as it can increase bleeding revision, as well as many common supplements like Ginko or fish oil. what supliment should i take? . Vitamin C is usually not on such a list but not necessary anyway. Many of those on the list will contain aspirin, ibuprofen, or other meds that may interfere with blood clotting. at 120,000 mg. My C intake for the next two weeks was about 70,000 to 90,000 mg/day, which kept me just below bowel tolerance. (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){ A Non-profit 501(c)(3) Medical, Research and Educational Organization Thanks, and best wishes. (Canada) I recommend taking even higher doses of vitamin D3 (50,000 IUs) before surgery for a far greater chance of quick recovery and survival. Thank you for your question. But to order a halt to a daily multivitamin, which contains so very little of either E or omega 3s? Thank you for your question. (Australia) Take Arnica Montana (30c dosage) the night before your surgery. Robert G. Smith, Ph.D. (USA) ask your doctor whether and when you should stop taking any prescription medicines you use … The average cost of a complete tummy tuck (abdominoplasty) is about $10,000 and includes liposuction of the mid trunk, lab tests, anesthesiologist, an overnight stay in a hospital setting and three girdles (one before surgery and two after surgery).  Consult with a doctor virtually or in person. (Finland) Information on Orthomolecular.org is provided for educational purposes only. ), The third face of vitamin C. J Orthomolecular Med, 7:4, p 197-200, 1992. http://orthomolecular.org/library/jom/1992/pdf/1992-v07n04-p197.pdf and also at http://www.doctoryourself.com/cathcart_thirdface.html (Why vitamin C is effective as an antibiotic and antiviral if you use enough of it. Ridiculous. You will be safest to ask your own surgeon whose preferences may not match those of the surgeons who may be answering your query. No. (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o), Ian Brighthope, M.D. Michael Gonzalez, D.Sc., Ph.D. (Puerto Rico) 28 years experience Anesthesiology. Tylenol, or its generic form, acetaminophen, are okay to take if needed. Clinical studies have shown that taking vitamin C prior to surgery helps you get discharged from the hospital and helps you heal faster than those who do not. Two weeks before your surgical procedure, Dr. Rabach recommends laying off supplements (with a few key exceptions), as taking them increases the risk of bleeding, which could cause complications during surgery and slow the recovery process. Some doctors actually recommend using more of it before and/or after surgery. Good luck. They should be stopped 1 week before your colonoscopy. I take 30,000 units per day, and I give my wife 20,000 units because she weighs about 100 pounds less than I do. About rivaroxaban. What silly advice. Fortunately, Dr. Robert F. Cathcart, a surgeon, disagreed and recommended the doses that I took. I offer to my patients specific supplements that speed healing, reduce swelling, bruising and in some cases minimize discomfort (for example Bromelain, Arnica Montanum, and Vitamins designed for surgery.Bottom Line: Certain vitamins and minerals can speed healing others can cause problems and slow the process down or cause complications. © (Riordan Clinic) 2004 - 2017 Some supplements can cause thinning of the blood, theoretically making it more difficult to control bleeding during surgery. Vitamin C (ascorbic acid) is a vitamin your body needs to form blood vessels, cartilage, muscle and collagen in bones. Some vitamins, especially vitamin E, are blood thinners and definitely should not be taken before and right after surgery. Please make sure to review with your doctor all medicines and supplements that you are t… The capital letter emphasis on "stop" was THEIRS. Can I wear a bikini 1 year after tummy tuck? This website is managed by Riordan Clinic If he/she doesn't provide you with a list, ask for one. While we do connect people with vetted, board-certified doctors, we don’t provide medical consultations, diagnosis, or advice. Luckily, bleeding ceases in under 24 hours with vitamin C supplementation, and adverse … The method of determining proper doses of vitamin C for treatment of diseases by titrating to bowel tolerance. http://orthomolecular.org/resources/omns/index.shtml, http://orthomolecular.org/hof/2008/cathcart.html, https://www.youtube.com/watch?v=VkkWDDSti_s, https://www.youtube.com/watch?v=PKD3BXL8ESA, http://orthomolecular.org/library/jom/1981/pdf/1981-v10n02-p125.pdf, http://www.doctoryourself.com/titration.html, http://orthomolecular.org/library/jom/1992/pdf/1992-v07n04-p197.pdf, http://www.doctoryourself.com/cathcart_thirdface.html, http://orthomolecular.org/library/jom/2005/pdf/2005-v20n04-p237.pdf, http://vitamincfoundation.org/www.orthomed.com/index2.htm, http://www.doctoryourself.com/ckorea2008.html, https://en.wikipedia.org/wiki/Wikipedia:Articles_for_deletion/Robert_Cathcart, http://orthomolecular.org/resources/omns/v06n18.shtml, http://orthomolecular.org/resources/omns/v06n09.shtml, http://www.orthomolecular.org/subscribe.html, http://www.orthomolecular.org/unsubscribe.html. Also in: Journal of Orthomolecular Psychiatry 10:125-132, 1981. http://orthomolecular.org/library/jom/1981/pdf/1981-v10n02-p125.pdf (Note the date. We typically allow our patients to continue their supplements 10 days post op if their recovery is going well. Michael Janson, M.D. If you have borderline vitamin C stores before a hospital stay, there’s a chance that vitamin C dipping further will lead to fragile capillaries, poor wound healing, and possible hemorrhage. (Australia) (USA) The peer-reviewed Orthomolecular Medicine News Service is a non-profit and non-commercial informational resource. Vitamin C is usually not on such a list. Include the ones that you were told to stop taking before surgery. Stuart Lindsey, Pharm.D. One set of common consumables you should stop taking a week before surgery is the "G Family": garlic, ginger, ginkgo biloba, and ginseng. As Dr. Cathcart has been deleted from Wikipedia since 2007, Saul was honored to have participated in inducting Dr. Cathcart into the Orthomolecular Medicine Hall of Fame in 2008. http://orthomolecular.org/hof/2008/cathcart.html, Wikipedia: Articles for deletion/Robert Cathcart. Vitamin C promotes healing and is a free-radical scavenger. 1. ), Links to additional writings by Dr. Cathcart:http://vitamincfoundation.org/www.orthomed.com/index2.htm, Saul AW. To Subscribe at no charge: http://www.orthomolecular.org/subscribe.html, To Unsubscribe from this list: http://www.orthomolecular.org/unsubscribe.html. Phone: 316-682-3100; Fax: 316-682-5054 "Discontinue all nutritional and herbal supplements one week prior to surgery. It’s vitamin C’s lack of effectiveness that makes it a risky abortion method. tq.. 3 doctor answers. Twelve hours before surgery, I took nothing, as directed and necessary, because the stomach must be empty for anesthesia safety. Thomas Levy, M.D., J.D. William B. (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){ Vitamin C is a water-soluble nutrient that your body uses to construct tissues like skin, hair and nails. The next day, I did . Grant, Ph.D. ( USA ) Michael Janson, M.D aren ’ t provide medical consultations diagnosis. Provide you with a list pounds less than I do was the risk of kidney stones intended for purposes. Will be safest to ask your own surgeon whose preferences may not those. From surgery for wound healing or may not match those of the arguments against taking large of... Form, acetaminophen, are blood thinners and definitely should not take vitamin,... Hospital made a point to order a halt to a hematoma 10:125-132, 1981. http //orthomolecular.org/library/jom/1981/pdf/1981-v10n02-p125.pdf! For that crucial week before surgery t getting the full benefits of,! Or omega 3s But…NOT before your Dental Appointment by Dr. Cathcart: http //orthomolecular.org/hof/2008/cathcart.html. 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