Pre Care Instructions
Dr. Smitherman recommends taking the following supplements prior to your procedure for 5-10 days to enhance the healing impact of your procedure.
- Collagen Protein 20 grams twice per day
- Vitamin C (liposomal) 1 gram twice per day
- Meriva – 500 – 2 tablets twice per day
- BPC-157
- Thymosin Beta 500
- Multiple vitamin/mineral
*Microneedling Addition
- Peptide: GHK-Cu (discuss with Dr. Smitherman)
It is important to discuss all medication you take prior to regenerative injection therapy with Dr. Smitherman. There are some medications which may interfere with the procedure, or require special accommodation. The most important drugs to discuss prior to the procedure are pain medications, blood thinners, and steroid medications.
Prior to injection therapy, Dr. Smitherman will discuss with you discontinuation aspirin, meloxicam, ibuprofen, naproxen, baclofen, diclofenac, ketorolac, indomethacin, or other anti-inflammatory drugs for 7 days prior to procedure. Dr. Smitherman will discuss discontinuing any corticosteroid drugs 30 days prior to the procedures. These medications will interfere with the success of the treatment. Dr. Smitherman recommends Tylenol, and some prescription pain medications such as opioids for patients who have difficulty stopping their anti-inflammatories due to pain.
*Microneedling:
- Please avoid Tretinoin (Retin-A) for 7 days prior to your microneedling procedure.
- Avoid exfoliating or irritating treatments at minimum 3 days prior to your procedure.
- You want to come to your procedure with unbroken, skin.
- Please avoid putting on any makeup, and come with a clean face to your appointment.
Please have your complete medication list ready prior to your appointment.
Please consume a very small meal or snack containing any of the following prior to your appointment: fruits, vegetables, lean protein options.
Please avoid consuming a high fat meal, or too large of a meal prior to your appointment.
Please come to your appointment well hydrated for the 2 to 3 days prior to your injection. This will help to obtain your blood if you are doing a platelet based procedure, and also help with general vitality.
Post Care Insruction
Dr. Smitherman recommends the continued use of the following supplements after your regenerative procedure:
- Collagen Protein 20 grams twice per day
- Vitamin C (liposomal) 1 gram twice per day
- Meriva – 500 – 2 tablets twice per day
- BPC-157
- Thymosin Beta 500
- Multiple vitamin/mineral
*Microneedling:
- Discuss skincare routine with Dr. Smitherman.
- Discuss: GHK-Cu with Dr. Smitherman.
As some anti-inflammatory medications can interfere with the healing ability of the body after regenerative injection, please avoid all of these medications listed in the pre care instructions for an additional 30 days minimum after regenerative injection therapy.
*Microneedling:
- Please avoid Tretinoin (Retin-A), and retinols for 7 days after your treatment.
- Please avoid any skin actives for 3 days after treatment.
- Dr. Smitherman may recommend specific medications for your skin based on your examination.
Please continue to stay well hydrated after your appointment.
Peptide Therapies can be very helpful in the healing process. There are many peptide therapies that can help you heal. Below are some of the top peptides that Dr. Smitherman recommends after a regenerative procedure:
- BPC-157
- Thymosin Beta 4
- Ipamoralin/CJC
*Microneedling
- GHK-Cu
Dr. Smitherman will discuss with you if peptides are a good idea for you.
Dr. Smitherman recommends all patients undergoing regenerative injection therapy to seek out physical medicine and exercise therapy to enhance their healing.
You want to get low to no pain movement into the joint that is injected as soon as possible to pump blood into the joint region for healing. However, you want to avoid pushing your joint to a painful level of activity.
*Mirconeedling:
- Not necessary for microneedling
After your injection please avoid the following for 48 hours:
- Submerging injection site in water.
- Heavy physical activity
- Medications as per tab above
After your injection please avoid the following for 7 days
- Icing or cold therapy to the treated area
- Medications as per tab above
- Intense exercise
After your injection please avoid the following for 30 days
- Medications as per tab above