Prescribing pathway
The protocol, stage by stage
Four decision points from first consultation to six-month review. Each stage names what starts, what continues, and what is checked.
The four-stage pathway
Pre-admission
First Consultation
Prepare
RESTORE and THRIVE are prescribed at the first consultation to build joint and bone reserve. RECOVER begins one week before elective surgery; READY is added to the pre-op instruction sheet.
Surgery
Theatre
Load
One READY sachet the night before surgery: carbohydrate loading to reduce insulin resistance, thirst, anxiety and post-operative nausea. RECOVER is initiated post-surgery.
Weeks 1–6
Early Post-Op
Rebuild
RECOVER daily. BCAAs and HMB blunt the catabolic response and preserve muscle mass. RESTORE and THRIVE are maintained throughout. Nutritional status is reviewed at the first outpatient visit.
Ongoing
Rehabilitation
Maintain
RESTORE and THRIVE continue on an ongoing basis after surgery to sustain bone density, reduce inflammation and hold functional recovery. Review periodically with your healthcare provider.
How long each formulation runs
The formulations
What each product does
Each formulation targets a specific metabolic demand of the perioperative period. Together they cover the pathway end to end.
Ready
Pre-Operative Carbohydrate Drink
How it works
- Reduces pre-operative insulin resistance, a key ERAS protocol goal
- Decreases patient anxiety and thirst on the day of surgery
- Minimises post-operative nausea and vomiting
- Maintains an anabolic state entering the surgical stress response
Active ingredients
Recover
Perioperative Amino Acid Complex
Clinical rationale
- Blunts the catabolic response to surgical stress and general anaesthesia
- HMB directly inhibits muscle protein breakdown
- BCAAs (leucine, isoleucine, valine) stimulate muscle protein synthesis
- L-Arginine and L-Citrulline support nitric oxide production and blood flow
- Vitamins C and D3 support immune function and collagen synthesis
Active ingredients
Restore
Joint & Cartilage Recovery Support
Clinical rationale
- Glucosamine sulphate provides structural substrate for cartilage matrix repair
- Chondroitin sulphate inhibits catabolic enzymes that degrade joint cartilage
- MSM reduces post-operative joint inflammation and oxidative stress
- Curcumin C3 Complex®, clinically studied with enhanced bioavailability
- ASU inhibits IL-1 mediated cartilage degradation
Active ingredients
Thrive
Bone Health & Micronutrient Complex
Clinical rationale
- Supports bone mineral density, critical after orthopaedic and spinal procedures
- Vitamin D3 and K2 synergistically direct calcium to bone, not soft tissue
- Magnesium supports muscle function, sleep quality and nerve conduction
- B6, B12 and folate support cellular energy and healing
- Zinc, selenium and manganese drive antioxidant pathways
Active ingredients
Optimise. Recover. Thrive.
Supporting patients and their surgeons through every stage of the perioperative journey with evidence-based, clinically relevant nutritional supplementation.
Shop the protocol →Rebound Nutrition products are not intended to diagnose, treat or cure any medical condition. Use as part of a comprehensive perioperative nutrition programme under appropriate clinical supervision.