If applicable,

• STOP ALL GLP-1 medications 7 days prior to procedure.

• No nuts or seeds.
• Stop all fiber supplements including Metamucil, Citrucel, Benefiber, FiberChoice and flax seeds. If you are taking these to treat constipation, take 17g of MiraLAX daily starting five days prior to your procedure in place of the fiber. (This will require you to purchase MiraLAX in addition to bowel preparation stated above).
• Stop all oil-based vitamins and supplements to include Vitamin A, D, E, Fish Oil, Etc.

If applicable,

• STOP SGLT2 medications 3 days prior to procedure.

• From the moment you wake up, start a clear liquid diet. Do not eat breakfast. Avoid red beverages. This is different from the box instructions, please follow our instructions.
• Take only clear liquids by mouth. This includes clear juices (apple, grape, strained orange, strained lemonade), tea, coffee (no milk or creamer), soft drinks, sports drinks (Gatorade, Powerade), clear broth or bouillon, Jell-O and Popsicles.
• Avoid red drinks, red Jell-O and dairy products.
• Consume large amounts of clear fluids to increase success of the bowel flush, help avoid hunger, and avoid dehydration.

• At 5:00 pm begin drinking Suprep bowel preparation. Pour (1) 6-ounce bottle of Suprep into the provided cup. Fill to the 16-ounce fill line with water and consume. Drink two 16- ounce cups of water over the next two hours. This will induce stools.
• If you experience nausea while taking your prep, stop drinking and allow the nausea to settle. You may take a Zofran tablet to help ease your nausea. When you resume drinking, drink slower or through a straw to help avoid nausea. If vomiting occurs, please call us at the numbers above.
• You may continue consuming clear liquids before and after your bowel prep.

• To decrease the chance of nausea, you may take one Zofran tablet 30-60 minutes prior to drinking your prep. If you become nauseated or vomit, you may repeat Zofran x1.
• Start the second dose of Suprep starting 6 hours before your exam’s scheduled time. (e.g.: if your appointment is at 10 am, you should start at 4 am. If it is at 1 pm, you should start at 7 am). You must finish the second dose and the two 16-ounce cups of water within 2 hours of starting, so that your bowels are empty for your exam.
• After completion of the prep, your stools should be watery and see-through. If they are not, or you have any concerns about the quality of your prep, please call us.
• Please continue consuming clear liquids after prep completion to avoid dehydration up until 4 hours prior to your scheduled procedure.
• 4 hours prior to your procedure STOP drinking fluid. You may take small sips of water only to take your prescribed medications – this is very important. Drinking within 4 hours of your procedure may result in delay or cancellation.
• Bring a list of your current medications and correct dosages to your appointment.

• NO DRIVING –you cannot drive for the remainder of the day if you are sedated. You need to have a responsible driver to take you home after your procedure. If your driver wishes to discuss the results of your procedure with the doctor, please have them accompany you to your procedure and remain on site.
• We do not recommend Uber, Lyft, or taking a taxi – these are not acceptable forms of transportation.
• You will be sedated for your procedure. Avoid alcohol and making legal decisions for the remainder of the day after your procedure.