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Surgery
Protocol
By Alan R. Gaby, M.D.
Purpose: To increase the rate of healing
following surgery and to minimize the formation of scars and
adhesions.
Nutrients that promote healing include Vitamin C,
zinc, copper, Vitamin A, and B-complex vitamins.
Nutrients that reduce scar formation or adhesions
include Vitamin E and flavonoids. Vitamin E alone inhibited
wound healing in one study, but that effect was reversed by addition
of Vitamin A. In another study, Vitamin E alone accelerated
wound healing.
Individuals who follow this program of
supplementation before and after surgery typically heal much more
quickly than normal, with less pain and swelling and fewer
complications.
Suggested Program
Begin this program 2 weeks prior to surgery and
continue it for 4 weeks after surgery. Take:
-
High-potency ("4-tablet-a-day") multiple vitamin
and mineral supplement (including Vitamin K), plus:
-
Vitamin C, 1,000 mg, 2-3 times a day
-
Vitamin E, 400 IU/day
-
Vitamin A, 25,000 IU/day
-
Zinc (picolinate or citrate), 30 mg/day
-
Copper, 2 mg/day
-
Flavonoids:
-- Citrus bioflavonoids, 500-1,000 mg., 2-3 times a day;
or
-- "Herbal Flavonoids" (this product from Enzymatic Therapy™
contains flavonoids from various fruit skins), 2-3 capsules per
day; or
-- Centella asiatica (Gotu Kola standardized extract), 2
capsules twice daily (Cel-U-Var™, Enzymatic Therapy™ or equivalent
product).
-
Proteolytic enzymes are recommended to reduce
inflammation and swelling at the surgical site. Choices
include:
-- Pancreatin, 1,400 mg, 2-3 capsules, 3 times a day;
or
--
Bromelain (2,000 mcu/g), 250 mg, 2-3 capsules, 3 times a day.
Enzymes should be started as soon as possible after
surgery and continued for one week. The dosage may be reduced
by half after the first 3 days. Enzymes work best when taken
on an empty stomach.
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