Public protocols
Perioperative Telehealth Evaluations's general recommendations, available to anyone who visits this store.
IMMUNE + WOUND HEALING PTE™ ERAS OPTIMIZATION BUNDLE


6 more items in IMMUNE + WOUND HEALING PTE™ ERAS OPTIMIZATION BUNDLEIMMUNE + WOUND HEALING PTE™ ERAS OPTIMIZATION BUNDLE Supports immune function, wound collagen cross-linking, and tissue remodeling Zinc + Vitamin C improve epithelial repair Glutamine supports protein synthesis and intestinal barrier integrity Probiotics reduce gut dysbiosis, antibiotic-associated diarrhea, and immune suppression Suggested timing Start 10–14 days preop Continue 14–21 days postop This optimization bundle and accompanying written guidance are proprietary clinical resources developed by Perioperative Telehealth Evaluations, LLC. Use is limited to the purchasing clinician’s or clinic’s internal clinical practice. Redistribution, resale, sharing, derivative use, or use for training artificial intelligence or machine learning systems is prohibited. Purchase or use of this bundle constitutes acceptance of these terms. Full license terms available at: https://www.perioperativetelehealthevaluations.com/licensing-terms
CARDIOPULMONARY PREHAB PTE™ ERAS OPTIMIZATION BUNDLE


4 more items in CARDIOPULMONARY PREHAB PTE™ ERAS OPTIMIZATION BUNDLECARDIOPULMONARY PREHAB PTE™ ERAS OPTIMIZATION BUNDLE For frailty, COPD, CHF, major surgery Core components CoQ10 (Ubiquinol) Omega-3 Vitamin D Magnesium N-Acetylcysteine (monitor for asthma/acetaminophen interactions) ERAS rationale Improves mitochondrial recovery, endothelial stability, autonomic tone, pulmonary mucus clearance, antioxidant capacity Timing Start 2–4 weeks preop if possible Continue 2–3 weeks postop This optimization bundle and accompanying written guidance are proprietary clinical resources developed by Perioperative Telehealth Evaluations, LLC. Use is limited to the purchasing clinician’s or clinic’s internal clinical practice. Redistribution, resale, sharing, derivative use, or use for training artificial intelligence or machine learning systems is prohibited. Purchase or use of this bundle constitutes acceptance of these terms. Full license terms available at: https://www.perioperativetelehealthevaluations.com/licensing-terms
ANTI-INFLAMMATORY + PAIN MODULATION PTE™ ERAS OPTIMIZATION BUNDLE


3 more items in ANTI-INFLAMMATORY + PAIN MODULATION PTE™ ERAS OPTIMIZATION BUNDLEANTI-INFLAMMATORY + PAIN MODULATION PTE™ ERAS OPTIMIZATION BUNDLE ERAS rationale Down-regulates systemic inflammation, reduces opioid needs, modulates pain pathways Improves sleep quality and reduces sympathetic tone Core components Omega-3 Fish Oil (EPA/DHA) — anti-inflammatory Turmeric/Curcumin with BioPerine — cytokine modulation Magnesium Glycinate — neuromuscular relaxation + improved sleep Boswellia or Bromelain (if not on anticoagulants or antiplatelets) Contraindications Avoid turmeric/bromelain near surgery if patient is on anticoagulants or antiplatelets For vascular, orthopedic, plastics : stop bromelain/turmeric 5–7 days preop unless surgeon approves This optimization bundle and accompanying written guidance are proprietary clinical resources developed by Perioperative Telehealth Evaluations, LLC. Use is limited to the purchasing clinician’s or clinic’s internal clinical practice. Redistribution, resale, sharing, derivative use, or use for training artificial intelligence or machine learning systems is prohibited. Purchase or use of this bundle constitutes acceptance of these terms. Full license terms available at: https://www.perioperativetelehealthevaluations.com/licensing-terms
GLUCOSE CONTROL + METABOLIC STABILITY PTE™ ERAS OPTIMIZATION BUNDLE




GLUCOSE CONTROL + METABOLIC STABILITY PTE™ ERAS OPTIMIZATION BUNDLE For consideration in diabetics and bariatrics and or patients with metabolic syndrome as an adjunct for better glucose management Core components Berberine or Inositol complex Chromium Picolinate Cinnamon extract Magnesium ERAS rationale Improves insulin sensitivity, glycemic variation, post-prandial control Helps avoid stress hyperglycemia and improves wound biology Notes Monitor glucose more frequently Avoid in patients with hepatic impairment or complex polypharmacy unless medically supervised This optimization bundle and accompanying written guidance are proprietary clinical resources developed by Perioperative Telehealth Evaluations, LLC. Use is limited to the purchasing clinician’s or clinic’s internal clinical practice. Redistribution, resale, sharing, derivative use, or use for training artificial intelligence or machine learning systems is prohibited. Purchase or use of this bundle constitutes acceptance of these terms. Full license terms available at: https://www.perioperativetelehealthevaluations.com/licensing-terms
COGNITIVE RECOVERY PTE™ ERAS OPTIMIZATION BUNDLE


4 more items in COGNITIVE RECOVERY PTE™ ERAS OPTIMIZATION BUNDLECOGNITIVE RECOVERY PTE™ ERAS OPTIMIZATION BUNDLE Cognitive Recovery Bundle — Protocol Template Protocol Name: PTE Cognitive Recovery Bundle Goals: Recovery support (sleep, hydration, nutrition), cognitive stimulation, oxidative stress modulation Bundle contents (core): Omega-3 Magnesium glycinate Electrolytes Protein support Optional: Quercetin, B-complex Optional (mechanistic/early evidence only): NMN, K2 (position as “nutritional support; human evidence limited”) Timing: Start 7–14 days pre-op (if appropriate) and continue 14–30 days post-op. Add-on: Cognitive training app program (BrainHQ/HeadApp/NeuroNation) – recommended 15–30 min/day × 14–21 days. This optimization bundle and accompanying written guidance are proprietary clinical resources developed by Perioperative Telehealth Evaluations, LLC. Use is limited to the purchasing clinician’s or clinic’s internal clinical practice. Redistribution, resale, sharing, derivative use, or use for training artificial intelligence or machine learning systems is prohibited. Purchase or use of this bundle constitutes acceptance of these terms. Full license terms available at: https://www.perioperativetelehealthevaluations.com/licensing-terms
SLEEP + ANXIETY MODULATION PTE™ ERAS OPTIMIZATION BUNDLE


3 more items in SLEEP + ANXIETY MODULATION PTE™ ERAS OPTIMIZATION BUNDLESLEEP + ANXIETY MODULATION PTE™ ERAS OPTIMIZATION BUNDLE For prehab and postop recovery Core components Magnesium Glycinate GABA/L-Theanine Ashwagandha or adaptogen blend (STOP preop if surgeon requests) Melatonin low-dose (1–3 mg) ERAS rationale Better sleep improves pain modulation, glucose regulation, wound biology, delirium reduction L-Theanine stabilizes autonomic tone and reduces perioperative anxiety This optimization bundle and accompanying written guidance are proprietary clinical resources developed by Perioperative Telehealth Evaluations, LLC. Use is limited to the purchasing clinician’s or clinic’s internal clinical practice. Redistribution, resale, sharing, derivative use, or use for training artificial intelligence or machine learning systems is prohibited. Purchase or use of this bundle constitutes acceptance of these terms. Full license terms available at: https://www.perioperativetelehealthevaluations.com/licensing-terms
PONV SUPPORT PTE™ ERAS OPTIMIZATION BUNDLE


3 more items in PONV SUPPORT PTE™ ERAS OPTIMIZATION BUNDLEPONV SUPPORT PTE™ ERAS OPTIMIZATION BUNDLE Protocol Name: PTE PONV Support Bundle (Non-Rx) Goals: GI comfort, nausea sensitivity support, hydration tolerance Bundle contents: Ginger extract (daily) Vitamin B6 (daily) Electrolyte hydration (daily) Optional: magnesium glycinate (nightly) Rx note (optional text in protocol): Prescription antiemetics (e.g., scopolamine, aprepitant, ondansetron) are obtained from the patient’s prescriber—PTE does not dispense. Timing: Begin 2–3 days pre-op through 3–7 days post-op. This optimization bundle and accompanying written guidance are proprietary clinical resources developed by Perioperative Telehealth Evaluations, LLC. Use is limited to the purchasing clinician’s or clinic’s internal clinical practice. Redistribution, resale, sharing, derivative use, or use for training artificial intelligence or machine learning systems is prohibited. Purchase or use of this bundle constitutes acceptance of these terms. Full license terms available at: https://www.perioperativetelehealthevaluations.com/licensing-terms
GI RECOVERY + NARCOTIC-REDUCTION PTE™ ERAS OPTIMIZATION BUNDLE


3 more items in GI RECOVERY + NARCOTIC-REDUCTION PTE™ ERAS OPTIMIZATION BUNDLEGI RECOVERY + NARCOTIC-REDUCTION PTE™ ERAS OPTIMIZATION BUNDLE For any postop patient with opioid associated constipation Core components Soluble fiber (acacia, psyllium, or inulin) Probiotic blend Magnesium Citrate (gentle titration) Peppermint oil GI relief (enteric-coated) ERAS rationale Supports bowel recovery, reduces ileus risk, enhances gut motility Helps minimize constipation from opioids Reduces nausea/bloating, improves tolerance to oral diet This optimization bundle and accompanying written guidance are proprietary clinical resources developed by Perioperative Telehealth Evaluations, LLC. Use is limited to the purchasing clinician’s or clinic’s internal clinical practice. Redistribution, resale, sharing, derivative use, or use for training artificial intelligence or machine learning systems is prohibited. Purchase or use of this bundle constitutes acceptance of these terms. Full license terms available at: https://www.perioperativetelehealthevaluations.com/licensing-terms
ERAS CORE RECOVERY PTE™ ERAS OPTIMIZATION BUNDLE


3 more items in ERAS CORE RECOVERY PTE™ ERAS OPTIMIZATION BUNDLEERAS CORE RECOVERY PTE™ ERAS OPTIMIZATION BUNDLE Who it’s for: Adults preparing for elective surgery (general ERAS support) Goals: Hydration, protein adequacy, gut tolerance, recovery comfort Bundle contents (select from Fullscript catalog): Electrolyte hydration powder (daily) High-quality protein / amino acid support (daily) Magnesium glycinate (nightly, sleep/muscle comfort) Optional: gentle probiotic (daily if tolerated) Suggested timing: Start 5–14 days pre-op and continue 7–14 days post-op (unless surgeon directs otherwise). Patient instructions: Emphasize hydration, protein intake, early mobility, sleep routine. Contraindications/cautions (paste): Kidney disease: check magnesium/electrolytes with clinician. Fluid restriction / CHF / ESRD: follow medical plan. Allergies: verify ingredients. Disclaimer: Supplements are not intended to diagnose/treat/cure/prevent disease. This optimization bundle and accompanying written guidance are proprietary clinical resources developed by Perioperative Telehealth Evaluations, LLC. Use is limited to the purchasing clinician’s or clinic’s internal clinical practice. Redistribution, resale, sharing, derivative use, or use for training artificial intelligence or machine learning systems is prohibited. Purchase or use of this bundle constitutes acceptance of these terms. Full license terms available at: https://www.perioperativetelehealthevaluations.com/licensing-terms
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