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 iron supplements, fish oil, CBD oil, or any oil-based supplements.

If applicable,

• STOP ALL 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 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.

• 3:00 pm, take the (4) Bisacodyl tablets. You may experience cramps and stools after ingestion.

• 5:00 pm, mix the full bottle of MiraLAX (238 g or 14 capfuls) into 64 ounces (8 Cups) of your selected sports drink. Shake until completely dissolved.
  • To decrease the chance of nausea, you may take one Zofran tablet 30-60 minutes prior to drinking your prep.
  • Drink one 8 - ounce glass every 10-15 minutes until you have finished the 64 ounces (8 cups).
• If no stools occur within 2 hours of completion, repeat this step. This will require you to purchase more MiraLAX and sports drink.
• If you experience nausea while taking your prep, stop drinking and allow the nausea to settle. You may take a second 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.
• Continue drinking clear liquids. This helps your prep be more successful.

• 6 hours prior to your procedure (i.e., if your appointment is at 10 am, start at 4 am. If appointment is 1 pm, start at 7 am)
  • Mix the remaining bottle of MiraLAX (119 g or 7 capfuls) with the remaining 32 ounces of sports drink. Shake until completely dissolved.
  • Drink 8 ounces every 10-15 minutes. It is necessary to drink the ENTIRE 2nd bottle, even if your bowels appear clear.
  • To decrease the chance of nausea, you may take one Zofran tablet 30-60 minutes prior to drinking your prep. If you experience nausea while drinking your prep you may take the fourth and final Zofran tablet.
• Stools should be watery, yellow and see-through. If you have concerns about the quality of your prep, please call us.
• Continue consuming clear liquids 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. Please avoid alcohol and making legal decisions for the remainder of the day after your procedure.