Health Optimization for Surgical Recovery Program
The Health Optimization for Surgical Recovery Program is a comprehensive program designed to optimize cardiorespiratory, metabolic and immune health prior to and after surgery. It focuses on modulating inflammation and oxidative stress to improve wound healing, long-term functional and surgical outcomes.
Surgical Procedures
The program can be used with all surgical procedures, but it is designed specifically for major cancer and soft tissue surgical procedures. Examples include:
- Gastrointestinal and colorectal surgeries
- Breast cancer surgery including mastectomy and reconstruction
- Prostatectomy
- Head and neck cancer surgery
- Plastic and reconstructive surgical procedures
Our Approach
The program uses the principles of Health Optimization Medicine and Regenerative Medicine. It is highly data driven through objective measurement of cardiopulmonary fitness, metabolic and immune health.
Evidence informed changes in the “four pillars of health”—nutrition, exercise, sleep, stress and emotional health—are combined with targeted use of supplements and drugs.
Areas of Focus
The specific interventions will vary based upon the underlying disease, baseline cardiopulmonary fitness, and metabolic health. The areas of focus will include:
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Surgical Planning: Determining the planned surgical procedure and anesthetic plan and collaborating with the surgical and anesthesia teams to develop a coordinated plan
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Preoperative Assessment: Detailed preoperative assessment including a complete health history, laboratory panel, cardiopulmonary exercise testing and body composition analysis
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Prehabilitation: Preoperative health optimization with individualized exercise, nutrition, sleep and stress optimization plans
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Metabolic Optimization: Preoperative and postoperative metabolic optimization to address micronutrient and hormone deficiencies, improve metabolic flexibility and energy metabolism, modulate inflammation and oxidative stress, and improve wound healing
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Rehabilitation: Postoperative health optimization with an adapted and progressive exercise program, adapted nutrition, sleep and stress optimization. Early postoperative functional rehabilitation including soft tissue mobilization and edema management
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Regenerative Medicine: Optimizing wound healing and remodeling using the principles of regenerative medicine. This may include metabolic optimization, peptides to modulate inflammation, light and hyperbaric oxygen therapy
Services Included in the Program
Initial Evaluation
- Detailed personal health and family history
- Detailed review of diagnosis and planned surgical treatment
- Initial 2-hour in-person consultation to review history and plan for testing
- CMO comprehensive new patient laboratory panel
- Cardiopulmonary exercise testing (CPET)
- DEXA scan for body composition
- Follow-up 2-hour in-person consultation to review data and establish a plan
- Detailed health optimization and recovery plan formulated by the physician
- Medication and supplement review and ordering
- Referral for subspecialty evaluation, if needed
- Communication and collaboration with Primary Care Clinician, Surgeon and Anesthesia team
- One nutrition counseling visit
- One personal training or physical therapy visit
Early Postoperative Follow Up (1-2 weeks)
- Review of surgical procedure and early postoperative recovery
- Follow-up nutrition, exercise and sleep review
- Follow-up 30-minute in-person or telehealth visit to review progress and modify plan
6 Week Follow Up
- Review of surgical functional recovery and wound healing
- Follow-up nutrition, exercise and sleep review
- Follow-up 30-minute in-person or telehealth visit to review progress and modify plan
3 Month Follow Up
- Review of functional recovery and wound healing
- Follow-up nutrition, exercise and sleep review
- Follow-up 30-minute in-person or telehealth visit to review progress and modify plan
6 Month Follow Up
- CMO follow-up laboratory panel
- Specific additional tests to address changes
- Follow-up body composition, nutrition, exercise and sleep review
- Review of functional recovery, surgical complications and side effects
- Follow-up one-hour in-person or telehealth visit to review progress and modify plan
- Determine if the patient wishes to transition to an annual plan at a discounted rate
Included Throughout the Program
- 6 months of access to premium educational content including: Nutrition, Exercise, Sleep, Stress & Emotional Health, Supplements, Toxin, Light and Temperature Management and Behavior Change Modules
- 6 months of secure messaging access for questions regarding surgical recovery and health optimization
Other Services Available for an Additional Fee
- Additional specialized laboratory testing
- Prescription drugs, supplements and peptides
- Wearable devices (Smart watch, HR monitor, CGM, Oura ring, ketone and lactate monitors, etc.)
- Sauna, cold plunge and red light therapy
- Hyperbaric oxygen therapy
- Formal Physical Therapy Consult and Lymphedema Treatment
6-Month Membership Cost: $5,000
Ready to get started? Contact us to schedule your initial consultation.