Artreides, I’m sorry to hear about that. Here’s something I wrote up for another one of our forums:
[center]Pre-Surgery / Post-Surgery Protocol[/center]
The goal of the following protocol is to speed up healing following surgery and to minimize the formation of scars and adhesions. People who implement the nutritional recommendations given below before and after surgery typically heal much more quickly than normal, with less pain and swelling and fewer complications.
Except for the Arginine and Wobenzym, all supplements should be taken with food. Arginine and Wobenzym should be taken on an empty stomach.
Quality Nutrition w/ Sufficient Protein
Protein (like chicken, fish or lean ground beef) is broken down after it is eaten into amino acids. Amino acids are necessary for all phases of wound healing. Protein also supports the immune system, helping to prevent infection. It has been shown in more than one study that protein depletion before surgery is a risk factor in wound infection.
Quality fats and carbohydrates are also needed to supply the extra energy needed for healing and repair and to prevent lean muscle from being used for energy. Water, too, is necessary to replace losses through vomiting, bleeding, wound discharge and fever. Vitamins and minerals also play key roles in the healing process.
Small amounts of protein should be eaten at each and every meal. Recommendations (if you’re counting, weighing, measuring) are 1g of protein per pound of body weight. http://www.fitday.com is an online resource that will tell you how many grams of protein are found in different serving sizes of protein. Registration is free.
Even though Arginine is not one of the eight essential amino acids, it is still well known for its ability to speed up wound healing and improve immune function. Supplementing with Arginine three to seven days before surgery and for one week post-surgery reduces nitrogen excretion. The significance of reduced nitrogen excretion is that it is proof that protein (amino acids) is being used for building and repair and that lean muscle mass is being maintained and not used for repair. In addition, supplementing with Arginine increases the amount collagen synthesized at the wound site and the activity and efficiency of T-lymphocytes (white blood cells).
Take 20g in divided doses – i.e., 5g four times per day – on an empty stomach. An “empty stomach” is defined as 30 to 45 minutes before a meal or two hours after a meal. Since it is not particularly pleasant tasting, capsules are probably best.
Aloe Vera (Juice and/or Topical Application)
Aloe vera contains up to 200 different substances beneficial to the human body, including enzymes, glycoproteins, growth factors, vitamins, and minerals. Aloe vera provides micronutrients required for protein synthesis, reduces inflammation and pain, promotes healing and stops infection. Some of its components cause cells to divide and multiply while other components stimulate the growth of white blood cells. Aloe vera also enhances cell wall permeability, increasing the uptake of nutrients at a cellular level as well as the removal of toxins. Aloe vera can be used on the skin and/or taken as a juice; 2 ounces of concentrated aloe vera with 6-ounces of juice.
Zinc & Copper
Zinc and copper are two very important minerals that promote wound healing. Since they antagonize or oppose each other, they should be taken at least two hours apart. Copper speeds up the healing of broken bones and also plays a part in the creation of new, strong collagen. Even though high-dose copper supplementation is not normally recommended because of the fact that it generates too much free-radical activity in the body (not a good thing), short-term, therapeutic supplementation post-surgery is highly beneficial and appropriate. Post-surgery, free radicals fight bacteria and dispose of dead tissue.
Copper should be taken at a dosage of 8 mg per day for a limited time only (during healing). Zinc should be taken at a dosage of 90 mg per day. Be sure to account for anything you’re getting in your multi-vitamin.
Vitamin C plays a variety of roles in the healing process. It stimulates the immune system, supports the adrenals, enhances wound healing, plays a critical role in the repair/building of collagen and bone healing, and quenches excessive free-radical activity. What’s not to love!
Since Vitamin C is water soluble, the body excretes anything it doesn’t need. Divided doses in small amounts are far superior to a single large dose. Take 500 mg of Vitamin C with every meal, up to 6 times per day. The dosage recommendations are IN ADDITION TO what is found in your multi-vitamin.
Wobenzym is what is called a systemic oral enzyme. It is a product that has a complex of proteolytic enzymes. A proteolytic enzyme helps break down protein. If taken with a meal, it acts as a digestive enzyme (digesting protein only). Taken on an empty stomach, Wobenzym helps with protein synthesis, turnover and the repair of damaged protein structures. It is a wonderful supplement for joints in general. Post-surgery, it reduces pain, inflammation, swelling and internal bleeding. Wobenzym has been used in Europe for over 20 years in surgery and traumatology and has hundreds of studies proving safety and efficacy.
Wobenzym should be used pre- and post-surgery. Prior to surgery, take 10 tablets 3 times per day on an empty stomach. Once again, an empty stomach is defined as 30 to 45 minutes before a meal or two hours after a meal. Wobenzym should continue to be taken at the same dosage for at least a week post-surgery.
The only known contraindication for enzyme therapy is in patients who are at risk of post-operative hemorrhage because of blood coagulation deficiency, heavy bleeders, or those who suffer from hyperfibrinolysis or severe liver cirrhosis. However, enzyme therapy can be used before and after most surgeries.
MSM & Glucosamine HCl
MSM is like Vitamin C. It’s a wonder supp. MSM is a type of sulfur that is highly bioavailable to the body. It’s often seen in arthritis formulas, along with Glucosamine HCl. MSM plays a critical role in making collagen, the primary constituent of cartilage and connective tissue. That’s the main reason for its inclusion into this protocol. However, the list of benefits goes on. MSM keeps the blood vessels and structures of the body elastic. It keeps cell walls permeable so that nutrients can freely flow into the cells and wastes and toxins can easily be removed. MSM is able to get past the blood-brain barrier and helps the brain cells to more efficiently utilize glucose, resulting in higher levels of alertness. In fact, taken too late, MSM can prevent a person from sleeping. MSM tends to reduce or eliminate allergic reactions to foods, chemicals and inhaled allergens. MSM helps detoxify the body.
MSM can cause an upset stomach if the body is not allowed to adjust. The first day, 2 g should be taken in the morning and at dinner. The second day, 3 g should be taken in the morning and at dinner. The third day 4g should be taken in the morning and at dinner. The fourth day, 5 g should be taken in the morning and at dinner. Because of its energizing effects, MSM should not be taken right before bed.
Since Glucosamine HCl is well known for its ability to protect and repair joints by providing the body with the substrates it needs to rebuild damaged joints, I’ll not sing its praises here. It should be included at a dose of 1.5 grams per day, taken twice a day. Glucosamine HCl and MSM should be continued for at least four months post-surgery. It takes that long to see the full benefits of Glucosamine HCl supplementation.
And finally, the foundation on which all of the above recommendations are made? A good mult-ivitamin started before and continued after surgery. A good multivitamin is defined as a multi that needs to be taken two (good) or three (much better) times a day.
Vitamins and minerals are cofactors in enzymatic processes in the body; in breaking things down and in building/repair/storage. All processes in the body continue up to the point that a necessary nutrient for the process has been used up and is no longer available. A multi-vitamin should be used by all people on a daily basis as “insurance,” but it is particularly important to anyone preparing for and recovering from surgery.
This protocol should not, under any circumstances, be implemented without first consulting with your doctor. In fact, prior to surgery, your doctor should be aware of any supplements and medications you are taking, including over-the-counter drugs and pain relievers.
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