Ginseng in my pre workout?

Question

I am scheduled for mommy makeover next week, and just realized my pre workout contains 10 mg of Ginseng which is on the list of supplements to avoid. Is 10 mg enough to be concerned about? Thank you!

Caner Kacmaz, MD · Answer

Ginseng is a supplement for boosting energy and reducing stress. However, it can interfere with blood clotting and blood sugar levels. Therefore, I recommend you to avoid ginseng for at least two weeks before your procedure. In your case, I would highly recommend you letting your surgeon know as soon as possible.

James M. Economides, MD, FACS · Answer

It's great that you're reviewing your supplements before surgery! Ginseng is sometimes included in lists of supplements to avoid before surgery because it can potentially increase the risk of bleeding. While 10 mg is a relatively small dose, it's still best to err on the side of caution, especially since even small amounts of certain supplements can interact with medications or affect surgery outcomes.

I recommend informing your surgeon or anesthesiologist about the ginseng in your pre-workout. They may advise you to stop using it immediately and switch to something that doesn't contain ginseng before your procedure. Always follow your surgeon's guidance to ensure the safest possible surgery and recovery.

Daniel Barrett, MD · Answer

Dear Thriving358659,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

It would be best to inform your surgeon about this and let them decide on what to do. Your surgery may be rescheduled for your safety.

Emmanuel De La Cruz, MD · Answer

It's important to follow your surgeon's instructions regarding pre-surgery guidelines, including the avoidance of certain supplements. Ginseng is sometimes on the list of supplements to avoid before surgery because it can potentially affect blood pressure, blood sugar levels, and blood clotting. However, the degree of risk often depends on the dosage and duration of use.

Considerations for Ginseng Before Surgery
1. Potential Effects of Ginseng:

Blood Clotting: Ginseng can have anticoagulant (blood-thinning) properties, which might increase the risk of bleeding during and after surgery.
Blood Pressure: Ginseng can affect blood pressure, potentially causing it to rise or fall unpredictably.
Blood Sugar Levels: Ginseng may impact blood sugar levels, which is a concern particularly for patients with diabetes or those who need stable glucose levels during surgery.
2. Dosage Concerns:

A 10 mg dose of ginseng is relatively low compared to typical doses found in many supplements (which can range from 100 mg to 500 mg or more).
However, even small amounts can be significant for some individuals, especially if taken regularly over time.
What You Should Do
1. Contact Your Surgeon:

Inform Your Surgeon: Notify your surgeon or the medical team about the ginseng in your pre-workout supplement immediately. They can provide specific advice based on your health status and the planned procedure.
Follow Instructions: It is crucial to adhere to their guidelines regarding the discontinuation of supplements.
2. Discontinue Use:

Stop Taking the Supplement: As a precaution, stop taking the pre-workout supplement containing ginseng immediately.
Clearance Time: Inform your surgeon how long you've been taking the supplement and the dosage. They may need to adjust their surgical plans or monitor you more closely.
3. Monitor for Symptoms:

Watch for Bleeding: If you notice any unusual bruising or bleeding before surgery, inform your medical team.
Blood Pressure and Sugar: Keep an eye on your blood pressure and blood sugar levels if you have a history of issues with these.
4. Substitute Safely:

Alternative Supplements: Ask your surgeon if you can safely take any other pre-workout supplements or if it's best to avoid them entirely before surgery.
Summary
While 10 mg of ginseng is a low dose, it’s still important to err on the side of caution. Discontinue the supplement immediately and consult your surgeon for specific advice. Your healthcare team will guide you on the best course of action to ensure a safe and successful surgery.

Ryan Rebowe, MD · Answer

Even small amounts of supplements can cause significant perioperative bleeding. I would stop Ginseng at least 7 days and up to two weeks before your procedure depending on what your surgeon's preference is.

James Knoetgen, III, MD · Answer

Thank you for your question—and it’s a very important one given your upcoming surgery.
Ginseng, even in small amounts like 10 mg, can potentially affect bleeding risk, blood pressure, and how your body handles anesthesia, which is why many surgeons recommend avoiding it entirely for at least 1-2 weeks before surgery. While 10 mg is a relatively low dose, it’s still technically present and could interact unpredictably, especially when combined with other substances in a pre-workout. 
Since you’re scheduled for a mommy makeover, which typically involves multiple procedures (like tummy tuck, breast surgery, liposuction), the stakes for avoiding anything that could interfere with healing or increase bleeding are higher. 
Be sure to also notify your surgical team about any supplements you’ve taken recently. They’ll likely recommend you stop the pre-workout supplement entirely until after the procedure.

Zamir Paez, MD · Answer

Ginseng is a supplement that is generally advised to avoid before surgery due to its potential effects on blood pressure and blood clotting. While 10 mg may not seem like a high dose, it’s important to consider any supplement that could interact with medications used during the surgical procedure or affect the recovery process.
It’s essential to follow your surgeon's recommendations and avoid any supplements that have not been specifically approved prior to surgery. It’s always better to err on the side of caution when it comes to supplements and medications before a surgical procedure.

Connie Hiers, MD, FACS · Answer

Ginseng is a blood thinner and any amount can increase your risk. Please call your surgeon's office to discuss this.

Camille Cash, MD · Answer

This question is best answered by your surgeon as opinions may vary.  When preparing for surgery there are certain medications and supplements that should be avoided as they can interfere with healing, may cause bleeding, or may interact with medications given during surgery.  For your safety it is always recommended to closely follow your surgeon's instructions and to clarify questions with her/him.

Ginseng in my pre workout?

Answers (11)

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