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Watch those herbs pre and post surgery!



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Here is a quick look at just some of the problems found when mixing herbal preparations with surgery:

Echinacea

This herb often is used for preventing or treating viral, bacterial or fungal infections. Because some people can be allergic to echinacea, those with allergies or asthma should be cautious of using this supplement at any time. This also is true for people with pre-existing liver conditions. Echinacea may diminish the effectiveness of immunosuppressant drugs so people who are having any kind of organ transplant should avoid taking echinacea for several weeks before surgery.

Ephedra

This herb promotes weight loss and increases energy. Ephedra is known to increase blood pressure in some people. A rise in blood pressure during surgery could lead to danger, at worst a heart attack or stroke. Ephedrine can persist for an entire day in your blood stream, so don't take this herb for a few days prior to surgery.

Garlic

Garlic inhibits your platelet's ability to aggregate, or clot. This means it can become harder to stop any bleeding. It's a good idea not to take any kind of garlic herbal preparation for at least a week before surgery.

Ginkgo

This herb is taken for a number of conditions, including improving mental alertness, reducing dizziness caused by altitude sickness or vertigo and erectile dysfunction. Ginkgo also inhibits the platelet-activating factor, part of the normal blood-clotting process. This effect can make it harder for your body to heal after surgery. Stop taking ginkgo at least 36 hours before surgery.

Ginseng

Ginseng is thought to protect the body against stress. Unfortunately, it also may lower the glucose (sugar) in your blood. This could be a serious problem for a person with diabetes and could even cause a dangerous blood sugar drop in people without diabetes. It's a good idea to stop taking ginseng a week before surgery.

Kava

Kava commonly is used to treat anxiety. Kava may act as a sedative and might interfere with traditional sedatives given during surgery or shortly after surgery. Kava could interfere with the anesthetic medication that you receive during surgery. Try to discontinue kava at least 24 hours before your surgery.

St. John's Wort

This herb is widely used to treat mild to moderate depression. St. John's Wort also can increase the metabolism of medications. This may interfere with drugs used in organ transplants or anyone who may need to take an anticoagulation medicine after surgery to stop bleeding. It is a good idea to discontinue St. John's Wort at least five days prior to surgery.

Valerian

This herb is used to calm anxiety and promote sleep. Because valerian may have some addictive qualities, it is a good idea to taper use for several weeks before surgery.

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Here is a quick look at just some of the problems found when mixing herbal preparations with surgery:

Echinacea

This herb often is used for preventing or treating viral, bacterial or fungal infections. Because some people can be allergic to echinacea, those with allergies or asthma should be cautious of using this supplement at any time. This also is true for people with pre-existing liver conditions. Echinacea may diminish the effectiveness of immunosuppressant drugs so people who are having any kind of organ transplant should avoid taking echinacea for several weeks before surgery.

Ephedra

This herb promotes weight loss and increases energy. Ephedra is known to increase blood pressure in some people. A rise in blood pressure during surgery could lead to danger, at worst a heart attack or stroke. Ephedrine can persist for an entire day in your blood stream, so don't take this herb for a few days prior to surgery.

Garlic

Garlic inhibits your platelet's ability to aggregate, or clot. This means it can become harder to stop any bleeding. It's a good idea not to take any kind of garlic herbal preparation for at least a week before surgery.

Ginkgo

This herb is taken for a number of conditions, including improving mental alertness, reducing dizziness caused by altitude sickness or vertigo and erectile dysfunction. Ginkgo also inhibits the platelet-activating factor, part of the normal blood-clotting process. This effect can make it harder for your body to heal after surgery. Stop taking ginkgo at least 36 hours before surgery.

Ginseng

Ginseng is thought to protect the body against stress. Unfortunately, it also may lower the glucose (sugar) in your blood. This could be a serious problem for a person with diabetes and could even cause a dangerous blood sugar drop in people without diabetes. It's a good idea to stop taking ginseng a week before surgery.

Kava

Kava commonly is used to treat anxiety. Kava may act as a sedative and might interfere with traditional sedatives given during surgery or shortly after surgery. Kava could interfere with the anesthetic medication that you receive during surgery. Try to discontinue kava at least 24 hours before your surgery.

St. John's Wort

This herb is widely used to treat mild to moderate depression. St. John's Wort also can increase the metabolism of medications. This may interfere with drugs used in organ transplants or anyone who may need to take an anticoagulation medicine after surgery to stop bleeding. It is a good idea to discontinue St. John's Wort at least five days prior to surgery.

Valerian

This herb is used to calm anxiety and promote sleep. Because valerian may have some addictive qualities, it is a good idea to taper use for several weeks before surgery.

Great advice, Tracy. I recommend stopping all herbal products a week before surgery because the side effects of some of them are not even known, and they could cause drug interactions, bleeding, or other problems. People think they are all "safe" because they are "natural". But they are just like drugs, with side effects and potential to interact with prescription medications.

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      1. This update has no replies.
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    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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