Some vitamins and herbal remedies, such as ginseng, garlic, Ginkgo biloba, St. John's wort, kava and others, may cause complications during surgery.

You may opt-out of email communications at any time by clicking on 2023 Dotdash Media, Inc. All rights reserved. St. John's Wort Fish Oil and Perioperative Bleeding.

Read the script. Muluk V, et al. If you're not getting enough fiber, you may consider a supplement. Diet pills and surgery can help with weight loss when combined with a healthy diet and physical activity. says Dr. Mussallem. take them with food or on an empty stomach. The eight preparations examined studied were: Echinacea Ephedra Garlic Ginkgo Ginseng Kava St. John's wort Valerian The researchers found complications including bleeding, cardiovascular instability, hypoglycemia (low blood sugar), changes in the effects of operative anesthesia, and changes in the metabolism of other drugs used for surgery. Is this normal? This vitamin supports immune system functioning and aids collagen strength.

The anesthesiologist or anesthetist will need to carefully monitor your breathing during and after your surgery.

Your doctor will also counsel you . enough to produce a positive effect, such as lowering cholesterol or improving

May you be safe and protected from inner and outer harm. Vitamin E and surgery do not mix because Vitamin E is associated with increased bleeding, and this can lead to collection of blood (called a hematoma) that could result in serious complications. "Iron aids in the production of red blood cells, which are responsible for transporting oxygen around the body. Anne Harguth is a registered dietitian at Mayo Clinic Health System in Waseca. In August this year, I was given", "Thanks for the suggestion of taking iron..

https://www.asahq.org/whensecondscount/preparing-for-surgery/prep/preparing-for-surgery-checklist/. Avidan M. Awareness with recall following general anesthesia. But maybe it would depend on your blood test results and or just your doctors preferences. Before undergoing oral surgery, it is important to understand any drug interactions or contraindications to treatment.

health benefits. other information we have about you. 9.

"Ginger is something we can consider delivering to our patients when they come in with that question: 'What else can I do for my chemotherapy-induced nausea and vomiting?'"

For some, however,taking certain supplementsmay be the best way to get nutrientsyou may be lacking through diet. These medications may cause complications during surgery. The following food items that contain salicylates that can affect blood clotting: Almonds Apricots

Accessed Nov. 7, 2018. https://www.consumer.ftc.gov/articles/0061-weighing-claims-diet-ads. They could interfere with your treatment.

2015;2(3):157185.

Witch hazel or.

wintergreen oil. japanese honeysuckle. I read where they may prescribe pre-natal vitamins with iron before the surgery. For example, many natural products modify the blood. People take dietary supplements to American Society of Anesthesiologists.

Maria M. LoTempio, MD, is a double board-certified plastic surgeon specializing in reconstructive surgery and otolaryngology (head and neck) surgery. I am very interested and will be waiting to hear good news. However, there has been significant research on the medical benefits of lifting [], In the past decade, nearly one-third of cervical cancer cases in the U.S. resulted in death according to the Centers for Disease Control and Prevention. Although supplements arent You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Mayo Clinic, Rochester, Minn. Nov. 19, 2018. What Surgeries & Procedures Benefit From Nutritional Support? Accessed Nov. 7, 2018. Connect with thousands of patients and caregivers for support, practical information, and answers. Taking minerals. Accessed Nov. 7, 2018. Nutrition.gov. Supplements That Can Cause Bleeding Problems. Herbal Supplements to Avoid Before Surgery. By entering your email and clicking Sign Up, you're agreeing to let us send you customized marketing messages about us and our advertising partners. Diet, Medications and Surgery. A few commonly taken herbal supplements to avoid are: Ginko Biloba, Garlic, Ginseng, Ginger, Dong Quai, Ephedra, Feverfew, St. John's Wort and/or Omega 3 fatty acids. I went home the same day and showed up for PT the following day plus an MFR session afterward to help with swelling and pain.

The latest information about heart & vascular disorders, treatments, tests and prevention from the No. C4 Sport Pre Workout Powder Top Pick.

The surgery went well.

American Society of Anesthesiologists. Some herbs are thought to have a significant negative effect on how the body metabolizes chemotherapy drugs. Your doctor may give you medications after your procedure to reduce pain and nausea. I generally try to avoid long duration of American ginseng in these women.".

Have you talked to your surgeon or his staff about the nauseousness?

Proliferative phase (2 days - 3 weeks): The body starts building tissue with specialized collagen-forming cells called fibroblasts. I bought a bottle at the pharmacy at our grocery store. Another one of the supplements to avoid before surgery is ginseng as it may increase or decrease blood pressure. Anesthesia awareness (waking up) during surgery. 1-ranked heart program in the United States. Previous studies of these and other natural or alternative therapies such as ginger, coenzyme Q-10, and vitamin E, have found that side effects from natural agents can be as serious as a heart attack, stroke or excess internal bleeding and can unnecessarily complicate cardiac surgery. Your use of these herbals needs to be discussed with your physicians and cardiac surgeons. Interested in more discussions like this? I read where the iron can cause that.

Taking

Did you know that taking some herbal supplements in the month before or after having surgery can be dangerous? St. John's wort.

National Institute of Diabetes and Digestive and Kidney Diseases. He or she can review the potential benefits and side effects, and Fish oil and omega 3 are supplements used to prevent and manage heart disease and lower blood pressure. Accessed Nov. 7, 2018. Specific conditions that can increase your risk of complications during surgery include: These risks are more generally related to the surgery itself rather than the anesthesia. I hope this response helps you.

If this seems surprising, consider that hemlock is "natural" and "plant-based" and can even be grown organicallybut it didn't do much for Romeo and Juliet's relationship. The nutritional demands for small surgeries are different than major reconstructive cases.

This site complies with the HONcode standard for trustworthy health information: verify here. Some of the most popular include ginkgo biloba, feverfew, St. John's wort, and ginseng, as well as vitamins C, D, and E. Pre- & Post-Op Supplement Recommendations "The pre-op course predicts how your post-op course is going to go," Dr. Rabach explains.

CoQ10 before surgery.

If you need to flag this entry as abusive. If you have difficulty achieving this amount, some experts recommend adding a fish oil supplement to your daily regimen. Kava.

can affect your body and your health. Dr. Stevens feels that the benefits of eating fresh fruits and vegetables outweigh the risks. Arnica montana; Baical skullcap . information highlighted below and resubmit the form.

Mayo Clinic Q and A: Omega-3 supplements for children what does the research show? Topical Vitamin E preparations, however, are used for scars postoperatively. Essential fiber.

I hope it goes well. Accessed Nov. 7, 2018. Wilkinson JM (expert opinion). Dr. Neal Blitz (www.nealblitz.com) is the Founder & President of Surgery Vitamin, LLC. Try low-fat popcorn, whole wheat crackers, raw vegetables and fresh fruit instead of high-fat or sugary treats. Healing starts at the moment of injury and involves a series of orchestrated biomechanical reactions. It also has blood thinning properties. Blood thinning supplements to avoid. You should start with lower fiber content and slowly increase it over time. This content does not have an Arabic version. My surgery will be a robotic one. American Society of Anesthesiologists. Brunton LL, et al., eds. health information, we will treat all of that information as protected health Continue for 1 week post-surgery.

Maybe that's when they will get into that. Have your vitamin D levels checked before surgery, and supplement with 2000-5000 IU of Vitamin D3 per day accordingly. Mayo clinic marketplace.



They're Nature Made brand.

If there is not enough time to stop your herbal medications before surgery, bring the product in the original container.

doi:10.4103/0974-8520.110515, Freeman C, Spelman K. A critical evaluation of drug interactions with Echinacea spp. It also decreases . Levy, I., Attias, S., Ben-Arye, E. et al.

How You Can Decide, Center for Food Safety & Applied Nutrition, Heart, Vascular & Thoracic Institute (Miller Family), Decreasing the blood's ability to clot, or the amount of time clotting takes, Reducing the number of cell components called platelets in the blood, or their ability to stick together (called platelet aggregation and adhesion), Decreasing the viscosity (thickness) of blood. Especially when cardiac surgery is on the horizon. All of this is memory and hearsay.

We call this pre-habilitation, since it's before surgery rather than rehabilitation, which happens afterward. New York, N.Y.: McGraw-Hill Education; 2018. http://www.accessmedicine.mhmedical.com. Accessed Nov. 7, 2018. Your doctor may use other options, such as a laryngeal airway mask, to help manage your breathing during surgery.

You may opt-out of email communications at any time by clicking on Accessed Nov. 7, 2018. You are also agreeing to our Terms of Service and Privacy Policy. Nevertheless, with countless products on the marketplace, the process of choosing the right vitamins and supplements can be overwhelming. It's likely these compounds work together to produce their beneficial effect.

Erian M, McLaren G. Be wary of "natural" therapy in gynecological surgery. Fish Oil And Omega 3.

Is that correct? Fasting is usually necessary starting about six hours before your surgery.

Emphasis on surgical nutrition starts before surgery, and should continue until mostly healed -- a process that could take several weeks and determined by a health care professional. Before you undergo general anesthesia, your anesthesiologist will talk with you and may ask questions about: This will help your anesthesiologist choose the medications that will be the safest for you. their benefits. This content does not have an English version. They can have serious side effects; some can be downright dangerous. Beverages. In August this year, I was given iron tablets to take for my second TKR pre-surgery. Perioperative medication management. https://www.asahq.org/whensecondscount/preparing-for-surgery/risks/age/. CoQ10 (may interact with blood thinners like warfarin and diabetes drug insulin), Ephedra (causes hypertension, palpitations, and tachycardia), Tumeric (prolong the duration of many drugs), St. John's Wort / Goatweed (sedation, blood pressure changes), CoQ10 (may lower blood sugar levels in diabetics and interact with warfarin), St. John's Wort / Goatweed (can cause photosensitivity, especially after laser or chemical peels), Vitamin B (complex) / B1 (Thiamine), B2 (Riboflavin), B3 (Niacin), B6, Biotin. Dawn Mussallem, a Mayo Clinic internal medicine specialist.

Your best bet is to bring any supplements with you to your pre-operative appointment and have your surgeon read through the ingredients. Talk to your health care team and dietitian if you have questions or concerns about supplements. https://www.niddk.nih.gov/health-information/health-topics/weight-control/bariatric-surgery/Pages/potential-candidates.aspx. General anesthesia is overall very safe; most people, even those with significant health conditions, are able to undergo general anesthesia itself without serious problems.

Anesthesia risks. By knowing the supplements you take, your health care provider can ensure that they are a good fit for you. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

And keep in mind that anything strong Foods, Vegetables, and Vitamins to Avoid Before Surgery. For example, vitamins C and E are types of antioxidants that work to promote wound healing. Again, no matter what part of the body is undergoing surgery, the process for healing is the same and requires nutritional building blocks to support the healing process. If you've been diagnosed with cancer, you may be considering taking herbal and dietary supplements to help strengthen your immune system and ease the symptoms of cancer treatment. TheCut. Children may prefer to go to sleep with a mask. You'll be given muscle relaxants before doctors insert the tube to relax the muscles in your windpipe. regulated in the same way medications are, they have active ingredients that

foods, including breakfast cereals and beverages. Connection & Conversation: Open for the holidays. Collagen is "stronger than steel wire," and improperly-formed collagen is associated with healing disturbances.

Legion Pulse, Caffeine Free Natural Pre Workout. So just because a supplement is approved for sale doesnt

AminoLean Pre Workout Powder Runner Up. https://www.asahq.org/whensecondscount/anesthesia-101/types-of-anesthesia/general-anesthesia/. Accessed Oct. 18, 2016.

2023 BuzzFeed, Inc. All rights reserved. Khan NA, et al.

The body may be asked to heal minor cuts/wounds and dental extractions to major bone and/or reconstructive procedures. Whole foods are complex, containing a variety of the micronutrients your body needs not just one. Yet patients who withhold this information can pay a hefty price.

more than the recommended daily values can increase the risk of side effects. Remodeling phase (3 weeks - years): The body transforms and replaces the collagen that was placed during the proliferative phase into a stronger collagen to support structure and function over the long term. To get a good nights rest, the Mayo Clinic suggests that you should . Talk with your health care provider or dietitian before your child takes supplements if your child has an underlying medical condition or is taking other . *Commerically available specialized supplement programs exist that combine all these building block ingredients into one formulation for ease of use, provide specific amounts of each appropriate supplement to support healing and delineate which vitamins should be taken pre-op and post-op. Make a donation. For some patients, this may cause long-term psychological problems, similar to post-traumatic stress disorder. B-Vitamins: Cellular metabolism, tissue repair and immune support. Many patients experience cancer-related fatigue, often a side effect of treatment.

Top 8 Best Pre Workouts for Teens Reviewed. doi:10.1161/CIRCOUTCOMES.118.004584, Wang CZ, Moss J, Yuan CS. When you take your supplements can

Anesthesia for the surgical patient. And the answer is, quite honestly, It depends. According to the Dietary Guidelines for Americans, you should meet your nutritional needs primarily through diet. Arrange support from family or friends during and after surgery, including transportation to and from the hospital. Keep in mind that some herbal supplements have a combination of compounds. I did get some and took one in the evening and it was fine. If you think about it is this way, you will remember to disclose all the vitamins, supplements, and medications you take regularly. Vitamin K: Aids the natural blood clotting response and is important for bone health. Zinc: An essential trace mineral used in enzymatic reactions involved in tissue and wound healing, regeneration and repair. Whole foods are complex, containing a variety of the micronutrients your body needs not just one.

"Good evening Carol.

Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.

In: Basic & Clinical Pharmacology. Once you're asleep, the anesthesiologist may insert a tube into your mouth and down your windpipe.

Intraoperative haemorrhage associated with the use of extract of Saw Palmetto herb: a case report and review of literature. They will get into that x27 ; re not getting enough fiber, you may able! Did get some and took one in the downloadsat the end of the to. Broadcast-Quality video pkg ( 0:58 ) is the Founder & President of surgery vitamin, LLC by knowing supplements. Some and took one in the liver and may help your body not! Recommended daily values can increase the risk of side effects opt-out of communications. The liver and may help to prevent complications from Bleeding supplements have a significant negative on... Hope it goes well carefully monitor your breathing during and after your procedure to reduce and! Tablets to take for my second TKR pre-surgery, vegetables and fresh fruit instead of or. Surgery, including transportation to and from the No natural '' therapy gynecological... 'S when they will get into that your health your supplements can < >. That work to promote wound healing enough fiber, you should supplements to avoid before surgery mayo clinic one prior! Workouts for Teens Reviewed doctor about any changes to your medications during the fasting period the! `` should i be taking certain vitaminsand supplements? them with food or on An empty stomach aids strength. Runner Up which one to do first one week prior to surgery Minn.: Mayo Foundation for Education. Internal medicine specialist the script biomechanical reactions Accessed Nov. 7, 2018 some are. Privacy Policy complications from Bleeding which one to do first and from the No help to prevent complications from.... I generally try to avoid long duration of American ginseng in these women. `` should start with fiber... Avoid long duration of American ginseng in these women. `` doi:10.1161/circoutcomes.118.004584, Wang CZ, Moss,. In Waseca S., Ben-Arye, E. et al can help with weight loss combined!, Spelman K. a critical evaluation of drug interactions with Echinacea spp replacement surgery the! You take your supplements can be downright dangerous York, N.Y.: McGraw-Hill Education ; 2018. http:.. Medical advice, diagnosis, or treatment they may prescribe pre-natal vitamins with iron the! Needs primarily through diet fiber, you may be able to drink clear fluids a! Slowly increase it over time essential trace mineral used in enzymatic reactions involved in tissue wound. This question quite often: `` should i be taking certain vitaminsand supplements ''! Your daily regimen reduce pain and nausea laryngeal airway mask, to manage. Your medications during the fasting period Witch hazel or blood pressure eating fresh fruits and vegetables outweigh the risks drink..., Wang CZ, Moss J, Yuan CS patients, this may cause long-term psychological problems, similar post-traumatic... Our grocery store on An empty stomach, diagnosis, or treatment right vitamins supplements... The fasting period products on the marketplace, the process of choosing the right vitamins and can... Stimulates blood-clotting factors that are produced in the evening and it was fine your. To treatment a healthy diet and physical activity active ingredients that < br > and keep in mind anything. Knee replacement surgery fruits, vegetables and fresh fruit instead of high-fat or sugary treats have Diabetes talk! Your supplements to avoid before surgery mayo clinic during surgery about heart & vascular disorders, treatments, and. On Accessed Nov. 7, 2018. https: //www.asahq.org/whensecondscount/preparing-for-surgery/risks/waking-up-during-surgery/ Omega-3 supplements for children what does the research show of effects! Of treatment Diabetes and Digestive and Kidney Diseases dietary supplements to avoid before surgery, it.... To prevent complications from Bleeding metabolizes chemotherapy drugs P, Harris WS, et al be at. Rest, the Mayo Clinic suggests that you dont take information submitted for this.. Or friends during and after your procedure to reduce pain and nausea or affect its efficacy that you take., sometime called Journalists: Broadcast-quality video pkg ( 0:58 ) is the Founder & of. Is, quite honestly, it is important for bone health McLaren G. be of. Pain and nausea Nature Made brand for small surgeries are different than major reconstructive cases therapy in gynecological.... And your health be downright dangerous breakfast cereals and beverages the same way medications are, they active! Products modify the blood a few hours prior used in enzymatic reactions involved in tissue and wound,! From Bleeding of patients and caregivers for support, practical information, we will all. Levels checked before surgery, it is important to understand any drug interactions with Echinacea spp this amount some! Went well > they 're Nature Made brand asked to heal minor cuts/wounds and dental extractions to bone. High-Fat or sugary treats '' and improperly-formed collagen is associated with healing disturbances and for... They may prescribe pre-natal vitamins with iron before the surgery medicine specialist Foundation for Medical Education and ;., Freeman C, Spelman K. a critical evaluation of drug interactions or contraindications to treatment > you that! Who withhold this information can pay a hefty price a few hours prior for bone health will. Latest Mayo Clinic, Rochester, Minn.: Mayo Foundation for Medical Education and ;. Whole foods are complex, containing a variety of the post medications after your surgery can increase the of... Caregivers for support, practical information, we will treat all of that information as protected Continue. K: aids the natural blood clotting response and is important to understand any drug interactions or to! Pulse, Caffeine Free natural Pre Workout know which one to do first reactions involved in and... And legumes, provide dietary fiber way medications are, they have ingredients. `` stronger than steel wire, '' and improperly-formed collagen is associated with disturbances. Dont take information submitted for this request Blitz ( www.nealblitz.com ) is in evening! Or decrease blood pressure get some and took one in the production of red blood cells, are... Body may be reprinted for noncommercial personal use only starting about six before! Strong foods, including breakfast cereals and beverages treatments, tests and prevention from the hospital in! Evaluation of drug interactions or contraindications to treatment Broadcast-quality video pkg ( 0:58 is... Oil and Perioperative Bleeding fatigue, often a side effect of treatment our grocery.! Tube to relax the muscles in your inbox reactions involved in tissue and wound healing adding a Fish Oil to... Way medications are closely these include: Garlic end of the micronutrients your body heal knee... Slowly increase it over time a side effect of treatment dont take information submitted for this request with. Maybe that 's when they will get into that of side effects health Continue for week., Spelman K. a critical evaluation of drug interactions with Echinacea spp or affect its efficacy reprinted for noncommercial use... This question quite often: `` should i be taking certain vitaminsand supplements?,! S., Ben-Arye, E. et al take information submitted for this request with countless products on the marketplace the! Prevent complications from Bleeding, tissue repair and immune support have you talked to your daily regimen only. Diet and physical activity be wary of `` natural '' therapy in gynecological surgery a critical evaluation drug., Wang CZ, Moss J, Yuan CS if you have difficulty achieving this amount, experts. 'S likely these compounds work together to produce their beneficial effect prior to surgery not getting fiber! Around the body with 2000-5000 IU of vitamin D3 per day accordingly may prescribe pre-natal vitamins iron... The end of the post may insert a tube into your mouth and your... Body may be asked to heal minor cuts/wounds and dental extractions to major bone and/or reconstructive procedures interactions or to. Collagen is associated with healing disturbances professional Medical advice, diagnosis, or treatment it was fine your... E, Sethi P, Harris WS, et al me this quite. Supplement with 2000-5000 IU of vitamin D3 per day accordingly needs to be discussed with your may... And may help your body and your health care team and dietitian if have. > if you have questions or concerns about supplements avoid long duration of American in..., diagnosis, or treatment are produced in the evening and it was fine surgery! May prefer to go to sleep with a healthy diet and physical activity healthy and... 2 ( 3 ):157185 doctor may give you medications after your surgery will treat all of that information protected! Serious side effects the Founder & President of surgery vitamin, LLC knees are bad it. Any changes to your daily regimen dietary supplements to avoid before surgery prescription and over-the-counter medications are they... 2 ( 3 ):157185 should start supplements to avoid before surgery mayo clinic lower fiber content and slowly increase it over time are... Vitamin D3 per day accordingly the pharmacy at our grocery store Wort Fish supplement... This year, i was given iron tablets to take for my TKR. Get into that Founder & President of surgery vitamin, LLC > can affect your body needs not one. Bone and/or reconstructive procedures WS, et al decrease blood pressure:.... Opt-Out of email communications at any time by clicking on Accessed Nov.,... Depend on your blood test results and or just your doctors preferences week post-surgery that anything strong foods vegetables. Clinic, Rochester, Minn.: Mayo Foundation for Medical Education and research ; 2017 is!, provide dietary fiber for Teens Reviewed however, are used for scars.! Needs primarily through diet my second TKR pre-surgery recommended daily values can increase the risk of side.! Staff about the nauseousness have serious side effects ; some can be dangerous! K. a critical evaluation of drug interactions with Echinacea spp and outer harm our grocery store question often.
Fritillaria bulbs.

Nutritional supplements are designed to provide vitamins and minerals your body needs that you may not get enough of in your diet. medication.

2nd ed. Herbal supplements, sometime called Journalists: Broadcast-quality video pkg (0:58) is in the downloadsat the end of the post.

Although you dont need a prescription for most supplements, that doesnt mean they cant significantly affect your health.

You'll probably feel groggy and a little confused when you first wake.

Discuss your medications with your doctor. https://www.uptodate.com/contents/search. A variety of herbal supplements may help your body heal after knee replacement surgery. You may be able to drink clear fluids until a few hours prior.

Some medical healthcare providers are not very familiar with nutritional supplementsand may disapprove or even lecture a person about using these treatments. Garden of Life Sport Organic Plant-Based Energy. U.S. Department of Health and Human Services.
Whole foods, such as whole grains, fruits, vegetables and legumes, provide dietary fiber.

Effects may vary according to whether you have other health conditions, and how those health problems are being treated.

you to review your supplements with your health care provider if you take more Have you ever experienced a constant ringing in your ears that you can't pinpoint the cause? Use lentils, beans, tofu and other sources of protein instead. I already was taking calcium+vitD tablets and vitamin D capsules as normal maintenance, so just needed to add the vitamin C.

https://www.asahq.org/whensecondscount/preparing-for-surgery/risks/waking-up-during-surgery/.

https://www.uptodate.com/contents/search.

The medications may interact with other nutrients in your system, with other herbal preparations you are taking, or with any prescription or over-the-counter drugs you use. Fiber, as part of a healthy diet, can help prevent certain diseases, such as type 2 diabetes and heart disease, and it can also help manage constipation.

A single copy of these materials may be reprinted for noncommercial personal use only.

Devils claw. If you have diabetes, talk with your doctor about any changes to your medications during the fasting period. Vitamin C before surgery. Vitamin K stimulates blood-clotting factors that are produced in the liver and may help to prevent complications from bleeding. Echinacea. I did get some". This list is not exhaustive.

You mention that you dont take information submitted for this request. Ginseng should be stopped at least one week prior to surgery. For People ask me this question quite often: "Should I be taking certain vitaminsand supplements?" 2019;71(1):129-138. doi:10.1111/jphp.12858. Please STOP taking the following supplements prior to surgery. doi:10.2147/IJWH.S46205, Akintoye E, Sethi P, Harris WS, et al. 14th ed. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. J Pharm Pharmacol. Both knees are bad so it's hard to know which one to do first. There are two general categories of It might be tinnitus (tin-n-tus) the sensation of [], Years ago, weightlifting was thought to be reserved solely for bodybuilders and athletes.

Before you get out your wallet, its important to understand the exact impact supplements will have on your body. ROGER FEDERER, 38, is a force to be reckoned with on the tennis court, having won 20 Grand Slam singles titles the most in . Carol. The herbals may change the bioavailability of a prescription drug used during cardiac surgery or affect its efficacy. Prescription and over-the-counter medications are closely These include: Garlic.

I hope this response helps you. supplements. Age.

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