The following weight loss / diabetic drugs should be held as instructed prior to procedure:

• Liraglutide: Victoza (weekly) and Saxenda (daily)
• Dulaglutide: Trulicity (weekly)
• Exenatide: Bydureon (weekly) and Byetta (daily)
• Semaglutide: Ozempic (weekly), Wegovy (weekly) and Rybelsus (daily)
• Tirzepatide: Mounjaro (weekly) and Zepbound (weekly)
• Lixisenatide: Adlyxin (daily)

The medication will need to be stopped seven (7) days prior to your procedure if you are on a weekly dose or the day of your procedure if you are on a daily dose.

• If you are taking a blood thinner prescribed by a physician (such as Coumadin, Plavix, Effient, Eliquis or Ticlid). Your gastroenterologist will need to determine if these medication dosages require adjustment prior to the procedure. Failure to properly adjust these medications may result in cancellation of your procedure. You may continue to take Aspirin as usual.
• If you are having chest pain or undergoing cardiac testing. (IMPORTANT: Please notify us before you begin to prep for your procedure.)
• If you have ever had excessive bleeding after an operation or problems with anesthesia.
• If there is a possibility you are pregnant.

• Take iron, diet pills (Phentermine, Adipex or Qsymia) or herbal medications for seven (7) days prior to having your procedure. You may take vitamins.
• Drink alcohol for 24 hours before or after your procedure.
• Use items such as gum, hard candy, breath mints, smokeless tobacco, or illicit drugs such as marijuana on the day of your procedure.

• If you have dentures, you may be required to remove them for the procedure.
• Leave your valuables at home. If you have body piercings, you will be asked to remove them prior to the procedure for your safety.
• If you are a diabetic, do not take your diabetic medication the day of your procedure. Bring your medication with you so you can take it after your procedure.
• If you have asthma, please bring your inhaler with you.
• Take your usual prescribed medications with no more than two (2) tablespoons / one (1) ounce of water up to three (3) hours prior to your appointment time.

Please call us at (346) 340 4414 if you have any questions or if you are having difficulty with the preparation. We are available 24 hours a day, 7 days a week.

• If you have dentures, you may be required to remove them for the procedure.
• Leave your valuables at home. If you have body piercings, you will be asked to remove them prior to the procedure for your safety.
• If you are a diabetic, do not take your diabetic medication the day of your procedure. Bring your medication with you so you can take it after your procedure.
• If you have asthma, please bring your inhaler with you.
• Take your usual prescribed medications with no more than two (2) tablespoons / one (1) ounce of water up to three (3) hours prior to your appointment time.

• You should aim for 45-60 grams of carbs with each meal. Although you may ordinarily avoid sugars, they are ok to take when you are prepping for your colonoscopy as these will be the main source of calories when you are on a clear liquid diet.
• For snacks, try to include other fluids that contain electrolytes such as broth.
• Examples of clear liquids with carb amounts are listed below. Note, if you experience low blood sugar (<60) during the 2 hours before your procedure, you can take 3 teaspoons of soda or clear juice to raise your sugar. Do NOT take solid foods or non-clear liquids, as your procedure will be cancelled.

Please call us at (346) 340 4414 if you have any questions or if you are having difficulty with the preparation. We are available 24 hours a day, 7 days a week.