56 Thomas Johnson Drive, Suite 110 Frederick, MD 21702 Phone (301) 624-5566 1 ½ DAY Colonoscopy Preparation Instructions
IN ADVANCE OF YOUR PROCEDURE If you take any of the medications listed below, please be sure you have discussed them with Dr. Kossoff prior to your procedure:
Aspirin, Ibuprofen, Aleve, any other prescription or non-prescription pain or anti-inflammatory medication (NSAIDs)
Ticlid, Aggrenox, Plavix, Coumadin, Warfarin, or any other blood thinner,
Iron supplements (stop one week prior to colonoscopy)
Fish oil supplements (stop one week prior to colonoscopy) Purchase the following over-the-counter items at a grocery or drug store:
Three (3) 10 oz bottles of Citrate of Magnesium (cherry, grape or lemon lime)
Twelve (12) Dulcolax-brand tablets (LAXATIVE TYPE, not stool softener; not suppository)
You may refrigerate the Citrate of Magnesium overnight to chill, or mix it with ginger ale/7-Up. TWO DAYS before your procedure:
Eat a regular diet At 7:00 p.m. drink one (1) bottle of Citrate of Magnesia and take four (4) Dulcolax tablets. You will need to
THE DAY BEFORE your procedure starting when you awake:
NO SOLID FOODS. CLEAR LIQUID DIET ALL DAY starting when you awake.
NO RED OR PURPLE COLOR liquids (except for Citrate of Magnesium)
See next page Clear Liquid Diet for details on what is allowed for this day’s diet.
THE AFTERNOON BEFORE your procedure:
1:00 PM, drink one (1) bottle of Citrate of Magnesium and take four (4) Dulcolax tablets.
You will want to be home for the remainder of the day (for frequent trips to the bathroom).
5:00 PM, drink the second (1) bottle of Citrate of Magnesium and take last (4) Dulcolax tablets.
Drink at least 24 ounces of clear liquid throughout the evening before midnight, in additionto all of the
clear liquids that you drank earlier in day.
THE DAY OF your procedure:
You may have only clear liquids until 2 hours before you leave home for your procedure.
Please take your usual medications with a small amount of water (exceptions in first paragraph).
If you take certain medications, the following applies:
Blood pressure pills must be taken on the morning of the procedure.
Diabetic oral medications should not be taken the morning of the procedure.
Insulin is typically reduced to 1/3 to 1/2 of your usual insulin dose, but be sure to discuss the exact specifics YOU MUST HAVE A RIDE HOME FROM THE PROCEDURE AND YOU MUST HAVE ANOTHER PERSON WITH YOU UNTIL THE MORNING FOLLOWING THE PROCEDURE. Be sure to retrieve your post-op discharge instructions from your escort after you return home. THE DAY AFTER THE PROCEDURE, YOU WILL BE ABLE TO RETURN TO YOUR REGULAR ACTIVITIES. If you have any questions on the above instructions, please call the office at (301) 624-5566 or if after hours, follow the instructions to reach the physician on call. 56 Thomas Johnson Drive, Suite 110 Frederick, MD 21702 Phone (301) 624-5566 Fax (301) 624-5542 CLEAR LIQUID DIET ALL DAY the day before your Colonoscopy
This diet provides fluids that leave little residue and are easily absorbed with minimal digestive activity. This diet is
inadequate in all essential nutrients and is recommended only if clear liquids are temporarily needed. No red or purple
liquids should be consumed, however cherry or grape Citrate of Magnesium is allowed.
NO SOLID FOOD all day long the day before the procedure. ONLY CLEAR (TRANSPARENT) LIQUIDS ALLOWED: Tea or Coffee (decaffeinated or regular) (No MILK, NO CREAMER) Fruit “flavored” drinks - No Red or Purple Sodas, Carbonated beverages (regular or diet) - No Red or Purple CLEAR pulp-free Fruit Juices (No orange juice, No grapefruit juice, No pulp) Apple juice White grape juice Lemonade Gatorade/G2 - No Red or Purple **good for electrolytes* Clear Broth (chicken or beef)-canned or bouillon Jell-O (regular or sugar free) - No Red or Purple Popsicles - No Red or Purple NO MILK, NO CREAMER, NO NON-DAIRY “CREAMERS” ONLY CLEAR (TRANSPARENT) LIQUIDS ALLOWED
Alternative Therapies for Type 2 Diabetes Lucy Dey, MD, Anoja S. Attele, DDS, Chun-Su Yuan, MD, PhD Abstract Type 2 diabetes is a chronic metabolic disease that has a significant impact on the health, quality of life, and life expectancy of patients, as well as on the health care system. Exercise, diet, and weight control continue to be essential and effective means of improving gluco
Pablo Perel Personal Particulars Birth date: November 4, 1967 Nationality: Argentine Professional Experience: 2011-present: Coordinator Centre for Global Non Communicable Diseases, London School of Hygiene & Tropical Medicine. 2011-present: Senior Clinical Lecturer, Nutrition and Population Health Intervention Research Department, Epidemiology and Population Health Faculty, L