Pre-Surgery Carb+

Clear nutritional drink
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Conventional preoperative wisdom is changing

Pre-surgical fasting causes stress that worsens the catabolic state, leading to insulin resistance and potential delays in recovery.1 Though conventional wisdom has long promoted nothing by mouth prior to surgery, experts now recommend patients consume clear complex carbohydrate beverages to help promote healing after a procedure.2,3

Their conclusion is supported by the American Society of Anesthesiologists2 and the Enhanced Recovery After Surgery (ERAS®) Society.3 But in spite of this overwhleming support, only one in five US hospitals use a formal nutritional screening process for certain procedures.4

Clinically proven to reduce post-op and surgical stress, and provide better pain management

Fewer complications5

Shorter length of stay6

Better patient satisfaction7

Improved patient outcomes8

Pre-Surgery Carb+ provides nutritional support and hydration

  • Pre-surgical use of clear complex carbohydrate beverages meets Enhanced Recovery After Surgery (ERAS®) guidelines
  • Specifically designed to reduce insulin resistance, post-surgery
  • Helps reduce discomfort, nausea and vomiting after surgery, speeding recovery with fewer complications
  • Compatible with vegan, dairy-free, gluten-free and soy-free diet


A complex carbohydrate to enter surgery in a fed state that readily empties from the stomach


An amino acid that improves circulation and immunity


A trace mineral antioxidant that boosts the immune system


A trace mineral that aids in wound healing

Nutrition facts and instructions

The instructions provided are based on ERAS® guidelines.

Step 1: Drink two bottles the night before a procedure

Step 2: Drink one bottle up to two hours before a procedure



of US surgeons believe that existing data support preoperative nutrition optimization to reduce perioperative complications4

Request a free sample

Complete the form to receive a free sample of Pre-Surgery Carb+ at your facility.**


1. National Library of Medicine. Bilku DK, Dennison AR, Metcalfe MS, Garcea G. Role of preoperative carbohydrate loading: a systematic review. Available at: Accessed April 7, 2021.
2. ASA Publications: Anesthesiology. Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Available at: Accessed March 5, 2021.
3. ERAS® Society. List of Guidelines. Available at: Accessed March 5, 2021.
4. International Anesthesia Research Society. Wischmeyer PE, Franco C, Evans DC, et al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway. Available at:
Recovery_and.19.aspx. Accessed March 5, 2021.
5. Greco M, Capretti G, Beretta L, Gemma M, Pecorelli N, Braga M. Enhanced Recovery Program in Colorectal Surgery: a meta-analysis of randomized control trials. 2014 June; 38(6): 1531-1541.
6. Varadhan KK, Neal KR, Dejong CH, Fearon KC, Ljungqvist O, Lobo DN. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr 2010; 29(4): 434-440.
7. Lau, CS, Chamberlain, RS. Enhanced Recovery After Surgery Programs Improve Patient Outcomes and Recovery: A Meta-analysis. World J Surg 2017 April; 41(4): 899-913.
8. Journal of Parenteral and Enteral Nutrition. McClave SA, Kozar R, Martindale RG, Heyland DK, et al. Summary Points and Consensus Recommendations From the North American Surgical Nutrition Summit. Available at:
275441440_Summary_Points_and_Consensus_Recommendations_From_the_North_American_Surgical_Nutrition_Summit. Accessed March 5, 2021.

This product has not been reviewed or endorsed by the ERAS® Society. Studies conducted using formulas containing similar nutrients as Medline Pre-Surgery Carb+.