7 Days BEFORE Your Procedure:

PATIENTS CURRENTLY TAKING A GLP-1 RECEPTOR AGONIST FOR DIABETES OR WEIGHT LOSS such as Ozempic®, Semaglutide, Mounjaro®, Wegovy®, Rybelsus®, Trulicity®, Victoza® or similar compounded or generic medication, should contact the prescribing physician for instructions to stop the medication at least 7 days prior to your procedure. For your safety, your procedure will be rescheduled if these medications are taken within 7 days of your scheduled appointment.

THIS IS A SEDATED PROCEDURE. A RESPONSIBLE DRIVER MUST REMAIN IN THE FACILITY
THROUGHOUT YOUR APPOINTMENT. (90-120 minutes total). NO EXCEPTIONS.

Utah State regulations require patients to have a responsible adult present and able to drive them home after a sedated medical procedure. A taxi, Uber or any other paid driver cannot act as such. Patients arriving without a driver have the choice of rescheduling the procedure for a time when a driver can be present or having their procedure without sedation.

Purchase the Following Products:

1. Miralax powder 357 gram bottle/21 servings (mix 7 servings of Miralax in 32 oz of Gatorade®)
2. Gatorade 96 ounces  (NOTHING RED OR PURPLE) ‐ Sugar‐free drinks (G2, PowerAde Zero, Propel or water) are also options.

Two Days Before Your Exam:

• STOP all solid foods. NO SOLID FOOD until after your exam.
• Beginning with a clear liquid breakfast, continue to drink at least 8 glasses (64 oz) of CLEAR liquids throughout the day and evening. Clear liquids include: Water, sports drinks, black coffee, tea, any soda (light or dark), broth, Jell-O, popsicles, and juice without pulp. NOTHING RED OR PURPLE.
• STOP fiber supplements, such as Metamucil.

The Day Before Your Exam

• Mix 7 servings of MiraLAX in 32 oz of drink. Repeat this for two more batches, and refrigerate.
• At 9:00am, drink one-third (32 oz) of the total MiraLAX/Gatorade solution over the next 2 hours.
  Continue drinking clear liquids throughout the day and evening.
• At 5:30pm drink the next third (32) oz of the total MiraLAX Gatorade solution over the next 2 hours.
• A soothing ointment (Desitin®, Vaseline®) applied to the anal area may prevent discomfort and skin breakdown.

The Day Of You Exam:

• 4 hours prior to your appointment, drink the remaining prep over the next 2 hours.
• You may continue drinking clear liquids until 2 hours prior to arrival. NOTHING BY MOUTH for 2 hours before your appointment.
• Bowel movements should be watery and clear yellow or clear green in color, and you should be able to see the very bottom of the toilet bowl. If you are not passing clear stool or it is still brown 2 hours prior to arrival time, please call our nurses at 801-619-1115 for instructions.

Other Information:

Medications:

• Take your regularly prescribed medications at least two (2) hours before you arrive. (Except blood thinners or diabetic/weight loss medication as described here).

Diabetics:

• PATIENTS CURRENTLY TAKING A GLP-1 RECEPTOR AGONIST FOR DIABETES OR WEIGHT LOSS such as Ozempic®, Semaglutide, Mounjaro®, Wegovy®, Rybelsus®, Trulicity®, Victoza® or similar compounded or generic medication, should contact the prescribing physician for instructions to stop the medication at least 7 days prior to your procedure. For your safety, your procedure will be rescheduled if these medications are taken within 7 days of your scheduled appointment.
• Monitor your blood sugar levels while off the medication. Adjust insulin accordingly.
• Test your blood sugar before coming in for your procedure and bring the reading with you.
• DO NOT  take oral diabetes medication or insulin the morning of your procedure.
• Please contact the prescribing physician for diabetic care if you have any questions regarding your oral medication or insulin dosages.

Blood Thinners:

• If you are taking blood thinners, call your prescribing physician and ask if you may stop taking the medication for the required amount of time prior to your procedure.
• You may continue taking aspirin, ibuprofen and other anti‐inflammatory medications.

Bring with You:

• Your inhaler, if you use one
• Your insulin, if you use it
• Photo ID and Insurance Card
• Leave valuables and phone/devices at home or with your driver
• List of all medications, vitamins and supplements you are taking (include dosage and last date and time each medication was taken before your arrival)
• Wear a short-sleeved shirt
• Wear a short‐sleeved shirt

Arrive at the Granite Peaks Endoscopy Center at your scheduled time. Please call us at 801-619-1115 if you have any questions regarding your preparation.

Utah State regulations require patients to have a responsible adult present and able to drive them home after a sedated medical procedure. A taxi, Uber or any other paid driver cannot act as such. Patients arriving without a driver have the choice of rescheduling the procedure for a time when a driver can be present or having their procedure without sedation.