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XR® Pre-Op Carb Loading | 3-pack

XR® Pre-Op Carb Loading | 3-pack

Carbohydrate loading is a modern alternative to preoperative fasting (NPO) protocols utilizing an anesthesia approved maltodextrin formulation. 

$21.40 USD
$21.40 USD
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What is the XR® Pre-Op Carbohydrate Loading Drink?

The XR® Carbohydrate Loading Drink supports pre-surgical optimization by:

  • Providing complex carbohydrates to reduce surgical stress
  • Improving glycemic control and hydration
  • Adhering to ERAS® (Enhanced Recovery After Surgery) guidelines
  • Refreshing Coconut Lime flavor, 54g per single-serving packetAvoid Fasting prior to surgery
  • Mix easily with water & ice

When do I take the XR® Carb Loading?

  • Evening before surgery: Consume 2 packets of XR® Carbohydrate Loading over 2 hours.
  • Day of surgery: Take 1 packet 2–4 hours before your procedure.

*Mix with water only to maintain a 'clear fluid'.

The Science

Enhanced Recovery After Surgery (ERAS) programs have established guidelines to minimize the surgical stress response and the deleterious effects that it has on patients. ERAS protocols such as screening for poor nutritional status and providing preoperative carbohydrate clear fluids instead of fasting provide effective measures to improve outcomes and decrease postoperative complications.

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Frequently Asked Questions 

What is the XR® Pre-Op Carbohydrate Loading Drink?

The XR® Carbohydrate Loading Drink supports pre-surgical optimization by:

  • Providing complex carbohydrates to reduce surgical stress
  • Improving glycemic control and hydration
  • Adhering to ERAS® (Enhanced Recovery After Surgery) guidelines
  • Refreshing Coconut Lime flavor, 54g per single-serving packet

When should I order my pre-op carb loading?

We recommend ordering at least 1-2 weeks prior to your surgical date to account for potential shipping delays. Our warehouse operates Monday through Friday, with a cutoff time of 11:00 AM PST for same-day shipping. Orders placed on weekends are processed on the next business day.

  • XR® products shipped via UPS cannot be delivered to PO Boxes.
  • FedEx SmartPost and FedEx Ground Economy are the only shipping options that allow delivery to PO Boxes. Ensure you select these options if needed.

Can I purchase XR® products in person?

XR® products are available at the following locations:

Cedars-Sinai Kerlan-Jobe Institute - Santa Monica

  • Address: 2020 Santa Monica Blvd #400, Santa Monica, CA 90404
  • Availability: Visit the 4th floor for XR® products.

Kerlan-Jobe Surgery Center - Los Angeles (Howard Hughes Center/LAX)

  • Address: 6801 Park Terrace #300, Los Angeles, CA 90045
  • Availability: Restore Motion DME store, Suite 100
  • Hours: Monday through Friday, 8:00 AM to 4:00 PM.

When do I take the XR® Carbohydrate Loading?

  • Mix with water ONLY to maintain a clear-fluid per anesthesia preferences.
  • Evening before surgery: Consume 2 packets of XR® Carbohydrate Loading over 2 hours.
  • Day of surgery: Take 1 packet 2–4 hours before your procedure.

What can I mix XR® Carbohydrate Loading with?

Mix only with water to maintain optimal osmolarity and avoid delays with anesthesia.

What does NSF Certified for Sport® mean?

The Certified for Sport® certification is the only independent third-party certification program recognized by the United States Anti-Doping Agency (USADA),Major League Baseball, the National Hockey League, and the Canadian Football League. Certified for Sport® is also recommended by the NFL,NBA,PGA,LPGA,CCES,CPSDA,iNADO,Ironman,NASCAR,Taylor Hooton Foundation, and many other organizations seeking to mitigate the risks of contaminated dietary supplements.

There are numerous quality components of the Certified for Sport® certification program, which verifies that:

  • Products do not contain any of 290 substances banned by major athletic organizations
  • The contents of the supplement actually match what is printed on the label
  • There are no unsafe levels of contaminants in the tested products
  • The product is manufactured at a facility that is GMP Certified and audited annually or bi-annually based on grade for quality and safety by NSF

Recovery Options

References

  • L. Holm, B. Esmarck, M. Mizuno, H. Hansen, C. Suetta, P. Ho ̈lmich, M. Krogsgaard, M. KjærThe Effect of Protein and Carbohydrate Supplementation on Strength Training Outcome of Rehabilitation in ACL Patients Inc. J Orthop Res 24:2114–2123, 2006
  • Douglas Paddon-Jones 1, Melinda Sheffield-Moore, Randall J Urban, Arthur P Sanford, Asle Aarsland, Robert R Wolfe, Arny A Ferrando Essential amino acid and carbohydrate supplementation ameliorates muscle protein loss in humans during 28 days bedrest J Clin Endocrinol Metab. 2004 Sep;89(9):4351-8. doi: 10.1210/jc.2003-032159.
  • Choi, Yong Seon MD, PhD; Cho, Byung Woo MD; Kim, Hye Jin MD; Lee, Yong Suk MD; Park, Kwan Kyu MD, PhD; Lee, Bora MD Effect of Preoperative Oral Carbohydrates on Insulin Resistance in Older Adults Who Underwent Total Hip or Knee Arthroplasty: A Prospective Randomized Trial Journal of the American Academy of Orthopaedic Surgeons: May 13, 2022 - Volume - Issue - 10.5435/JAAOS-D-21-00656
  • Shin, Seokyung MD, PhD; Choi, Yong Seon MD, PhD; Shin, Hyejung MS; Yang, Ick Hwan MD, PhD; Park, Kwan Kyu MD, PhD; Kwon, Hyuck Min MD, PhD; Kang, Byunghag MD; Kim, So Yeon MD, PhD Preoperative Carbohydrate Drinks Do Not Decrease Postoperative Nausea and Vomiting in Type 2 Diabetic Patients Undergoing Total Knee Arthroplasty—A Randomized Controlled Trial Journal of the American Academy of Orthopaedic Surgeons: January 1, 2021 - Volume 29 - Issue 1 - p 35-43
  • Kadado, Allen; Shaw, Jonathan H.; Ayoola, Ayooluwa S.; More Effects of Preoperative Carbohydrate-rich Drinks on Immediate Postoperative Outcomes in Total Knee Arthroplasty: A Randomized Controlled Trial Journal of the American Academy of Orthopaedic Surgeons. 30(11):e833-e841, June 2022