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Public protocols

4 of Desert Surgical and Bariatric Specialists's general recommendations, available to anyone who visits this store.

  • Wired but Tired

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    When you are under chronic stress—whether from a demanding career, parenting, major weight loss, or just trying to survive a packed schedule—your brain perceives your environment as constantly unsafe. 1. The Cortisol Flip In a healthy body, cortisol (your main stress and alertness hormone) follows a natural curve: it spikes high in the morning to wake you up and tapers down to a baseline low at night so melatonin can take over and let you sleep. When you are "wired but tired," that curve is completely flipped. Your body is likely under-producing cortisol in the morning (making you feel like a zombie who needs three cups of coffee just to function), but because your nervous system is overwhelmed, it throws a desperate surge of cortisol and adrenaline late at night. 2. The High Cortisol / Low Progesterone Trap For women especially, chronic high cortisol physically steals the raw building blocks needed to make progesterone (the hormone that calms your brain and helps you sleep). The result? You are exhausted, but your nervous system cannot physically downshift into a resting state. The HPA-Axis Reset Protocol To break this cycle, you cannot just slam standard sleep sedatives or double down on caffeine. You have to send safety signals back to your brain to reset your endocrine baseline.

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  • Low Libido

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    Low libido is rarely just an emotional or psychological issue—it is a deeply biological one. Changes in desire are incredibly common during major life transitions, such as navigating significant weight loss, high-stress career milestones, natural aging, or menopause. When your endocrine (hormone) system is depleted or your body is stuck in a chronic stress response, reproductive drive is the very first thing your biology shuts down to conserve energy. This protocol focuses on correcting those underlying metabolic, hormonal, and adaptogenic pathways to restore your vitality and intimate wellness.

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  • Bariatric Patients

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    Your new anatomy requires a highly specific, medical-grade approach to supplementation. Because your stomach capacity is significantly smaller and your digestive path has been altered, standard over-the-counter vitamins cannot protect you from long-term nutrient deficiencies, bone density loss, or chronic fatigue. This evidence-based protocol outlines the mandatory lifetime supplement stack required to protect your lean muscle mass, keep your energy high, and optimize your new metabolism.

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  • Gut Health

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    Whether you are optimizing your gastrointestinal tract before surgery, navigating the structural changes of a post-op anatomy, or managing chronic GI inflammation, restoring the integrity of the gut barrier is foundational. This protocol targets the three pillars of gut health: microbiome diversity, mucosal layer repair, and digestive efficiency.

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