Every PS will have his/her own pre-op and post-op checklist of things to avoid and things to optimize your condition prior to surgery including treating anemia. Hema-Plex supports blood health by delivering iron, Vitamin C to assist iron uptake, B Complex, and Folate. Taking Hema-Plex along with eating dark leafy veggies, liver, lentils, almonds, dried apricots, beets, and other high iron foods will also help to elevate the level. I do not recommend that my patients take Hema-Plex. Vitamin E should be stopped for 2 weeks before and for 2 weeks after the surgery due to presumed increased bleeding risk.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA