For Healthcare Providers

Everything Your Practice Needs to Run XR

Protocol guides, patient tools, clinical evidence, and the colleagues already doing it. Built for teams with no time to waste.

Optimization Is Entering the Surgical Plan

Five voices on why. Thirty seconds each.

Augustus "Gus" Mazzocca, MD, MS
Medical Director, Mass General Brigham Sports Medicine
The problem: repairs that don't heal.

Raffy Mirzayan, MD
Orthopedic Sports Medicine Surgeon, DOCS Health; Co-Founder, Shoulder360
The shift: optimizing the patient, not just the procedure.

Hafiz Kassam, MD
Director of Shoulder Reconstruction, Hoag Orthopedic Institute
The workflow: simpler for surgeons, staff, and patients.

Daniel Acevedo, MD
Shoulder and Elbow Specialist, LAOSS
The result: what shows up in follow-up.

Thurman Ballard
Vice President of Sales, Tetrous
The personal test: what he recommends to his own family.

Built for Your Practice:

XR was built by a surgeon to be simple to operationalize: one consistent protocol patients follow before and after surgery, patient-facing instructions your staff can hand out, automated text reminders that carry compliance without adding clinic work, and direct support from our team, including live or virtual staff in-services. Whether you're a single practice or integrating at the system level, we fit it to your workflow.

  • Basic Science

    Perioperative Nutritional Optimization Clinical Research Review

    Learn More 

  • XR® Musculoskeletal Therapeutic Supplement

    Download PDF 

  • XR® Carbohydrate Loading

    Learn more about pre operative carbohydrate loading science and guidelines.

    Learn More 

  • XR® Surgical Recovery Program

    ✔ 3,4,5 and 6 week options

    ✔ Twice-daily XR® servings for structured healing support
    ✔ One week pre-op, followed by post-op recovery support

    Read the PDF 

  • Patient Indications

    Tiered Patient Recommendations for Healthcare Professionals

    Learn More 

  • XR® Optimization Protocols

    Targeted Nutritional Supplementation (TNS) protocols for each patient and practice.

    Read the PDF 

What Your Patients Recieve

Every 3 week surgical program includes an insturction booklet to help guide your patients and connect them to our support team.

Read the patient instructions here

The Metabolic Report Card

A Practical Framework to Identify Modifiable Risk Factors in Orthopaedic Surgery

Optimizing surgical outcomes requires more than technical precision. A growing body of literature shows that the patient’s metabolic and nutritional status is a major determinant of tendon healing, muscle recovery, infection risk, and overall functional outcome. The Metabolic Report Card provides a structured, evidence-based way to screen for modifiable risk factors before any orthopaedic procedure.

Click here to view

The Patient Journey, In Three Minutes. Send this with your pre-op instructions.

Clinical Evidence

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PROVIDER FAQs

How do my patients get XR?

Patients order directly at xrscience.org, or your practice can stock it through our wholesale program. Either way, your staff only hands the patient a one-page instruction sheet.

What does implementation ask of my staff?

ne conversation and one handout. The protocol guides above cover timing by procedure; the instruction sheet covers the rest. Most teams are fully running it after a 20-minute in-service.

How do we keep patients compliant?

Enroll them in automated text reminders at sign-up. Patients get timed prompts through their pre- and post-op course with no further work from your team.

 Can XR integrate with our ERAS pathway or patient platform?

Yes. We work directly with groups on system-level integration. Use the contact form below and we'll follow up with the right next step.

Where do I send patient questions?

Point patients to the patient FAQ at xrscience.org/pages/faq. It answers when to start, how to take it, and what to expect, in plain language.

Where to Find Us

If you'll be at any of these meetings, reply to any of our emails or use the form below and we'll set aside time, at the booth, on faculty, or over coffee.

JUL
8–11
AOSSM Annual Meeting
Seattle Convention Center, Seattle, WA
Dr. Reza Jazayeri presenting
SEP–OCT
30–4
DisasterPlasty
Hilton Head, SC
Dr. Reza Jazayeri on faculty
OCT
2–3
NYU Patellofemoral Course
New York, NY
Dr. Reza Jazayeri speaking
NOV
12–14
Sir Robert Jones Course (SRJ)
NYU, New York, NY
DEC
4–5
HSS Holiday Knee and Hip Course
InterContinental New York Times Square, New York, NY
DEC
11–12
New York Shoulder Arthroplasty Conference
InterContinental New York Times Square, New York, NY

Watch Surgeon Insights:

Talk to Our Team: Questions, integration needs, or a staff in-service: enter your information and we'll reply within one business day.