Surgery Optimization · California

Our Mission:
Your Optimization

Surgery can be a daunting experience — both mentally and physically. We want to equip you with the right tools to maximize your recovery, before and after. Available via telehealth throughout California.

Serving patients throughout California · At-home blood draws in greater Los Angeles
Hero Photo
Suggested: recovery, wellness, active strength · Unsplash: "recovery wellness strength"
Los Angeles
San Francisco
San Diego
Throughout California
Improve Your Surgery Results

Our Mission: Your Optimization

Our optimization program is designed to empower you to play an active role in your surgical journey. Similar to a marathon, surgery is a major event for your body. Proper training and preparation with the right supplements and nutrition can help improve outcomes and recovery.

Gearing up your body to heal more efficiently means you can avoid complications and get back to doing what you love sooner — with the confidence of knowing you've taken the steps to achieve the best possible outcome.

Dr. Andre Atoian is a triple board-certified physician in anesthesiology, pain management, and addiction medicine — with over a decade of operating room experience and a deep understanding of exactly what physiological state gives patients the best surgical outcomes.

Section Photo
Suggested: wellness, calm preparation · Unsplash: "wellness preparation calm active"
What Preparation Can Do

What Proper Preparation Can Help You Achieve

Increase Immunity

Strengthen immune function before surgery to reduce infection risk and support a more resilient recovery.

Reduce Inflammation

Lower baseline inflammation so your body can mount a more targeted, efficient healing response after surgery.

Accelerate Wound Healing

Targeted nutrition and peptide therapy prime the body's repair mechanisms for faster, more complete tissue healing.

Speed Up Recovery

Get back to doing what you love sooner — with a body that was ready for surgery and built to recover from it.

The Program

Surgical Optimization — Before & After

Our program wraps around your surgical journey — preparing your body before the procedure and supporting your recovery after.

I

Pre-Operative Optimization

Weeks before surgery — prepare your body to perform

Patients who arrive at surgery with optimized nutrition and reduced inflammation recover faster and experience fewer complications. Dr. Atoian's pre-operative protocol focuses on the factors most predictive of surgical outcomes.

Comprehensive Pre-Op Labs & Blood Work

Advanced testing beyond standard pre-surgical panels — establishing your complete physiological baseline and identifying factors that could affect your procedure or recovery.

Nutritional Optimization

Targeted nutraceutical protocols and nutritional recommendations to correct deficiencies, build cellular reserves, and prime your body's repair mechanisms before surgery.

Anti-Inflammatory Protocol

Reducing baseline inflammation before surgery supports a more targeted, efficient healing response — and can meaningfully improve your comfort and recovery timeline after the procedure.

Surgical Team Coordination

Dr. Atoian works collaboratively with your surgeon and primary care physician. We optimize the patient they receive — we do not replace your surgical team.

II

Post-Operative Recovery

After surgery — heal faster, feel better

Surgery creates acute physiological stress — inflammation, tissue damage, and oxidative stress — that can linger for weeks without targeted intervention.

Peptide & Growth Hormone Therapy

BPC-157, the Wolverine Blend (BPC-157 + TB-500), and growth hormone therapy where eligible accelerate tissue healing, reduce scarring, and support more complete recovery.

Nutritional Recovery Protocol

Continuing and refining the pre-operative supplement protocol based on how your body is responding in the weeks after surgery.

Anti-Inflammatory Support

We calibrate anti-inflammatory interventions to support healing without suppressing the beneficial phases of repair.

Outcome Monitoring

Progress is tracked against your pre-surgical baseline using validated outcome monitoring tools — giving you a measurable picture of your recovery at every stage.

How It Works

Your Surgical Optimization Timeline

A structured program from initial intake through full recovery — every step timed to maximize your outcome.

1 Month Before Surgery

Comprehensive Intake & Baseline Labs

Complete intake forms and advanced blood work to establish your baseline. We assess your starting scores using validated outcome monitoring tools — giving us a clear before/after picture of your progress and recovery.

3 Weeks Before Surgery

Initial Virtual Consultation with Dr. Atoian

A thorough telehealth appointment to review your lab results, medical history, surgical plan, and goals. Dr. Atoian presents your personalized optimization protocol and answers all your questions about what to expect.

2 Weeks Before Surgery

Begin Supplement Regimen & Therapies

Your personalized supplement and nutraceutical protocol begins. Where eligible, short-term peptide and hormone therapies are initiated. This two-week window is when measurable changes in inflammation, nutrient status, and metabolic readiness can be achieved before surgery.

Day of Surgery

Pre-Surgery Carbohydrate Loading

A targeted pre-surgical carbohydrate drink protocol, timed precisely before your procedure. Evidence shows this reduces insulin resistance, improves patient comfort, and supports faster post-operative recovery.

1 Week Post-Op

First Virtual Follow-Up Visit

A telehealth check-in to assess your immediate recovery, review your supplement protocol, and adjust recommendations based on how your body is responding.

10 Weeks Post-Op

Final Follow-Up & Outcome Review

A comprehensive second post-operative visit to review your outcome scores against your baseline, assess functional recovery, and determine whether additional therapies would benefit your continued healing.

Concierge Services

Our Concierge Services

  • Personalized supplement regimen
  • Nutritional recommendations and sample recipes
  • Comprehensive Biometric Screening and Functional Medicine Analysis
  • At-home blood draws
  • Short-term peptide and hormone therapy if eligible
  • Additional specialized testing and recommendations
  • Initial telehealth consultation and two post-op follow-up appointments
Common Questions

Surgery Optimization FAQ

Is surgery optimization available via telehealth throughout California?
Yes. All consultations and follow-up appointments are conducted via telehealth and are available to patients throughout California. At-home blood draws are available throughout greater Los Angeles.
What is perioperative optimization and why does it matter?
Perioperative optimization is the process of preparing your body before surgery and supporting its recovery after — addressing the biological factors that most influence outcomes: inflammation, nutrition, and immune function. Research consistently shows that patients who enter surgery in an optimized state experience fewer complications, less pain, and faster recovery. Think of it like training for a marathon — the event is fixed, but how you prepare determines how you perform.
How does preparing before surgery actually improve outcomes?
Surgery places significant physiological stress on the body — triggering inflammation, taxing the immune system, and demanding rapid tissue repair. A targeted pre-operative protocol — supplements, nutrition, and where appropriate, short-term peptide therapy — primes your body's repair mechanisms before the procedure even begins. The result is a body that heals more efficiently and is less likely to experience the complications that extend recovery.
What supplements support surgical recovery?
The right protocol depends on your labs and surgery type — which is exactly why we test before prescribing. All protocols are personalized based on your individual baseline and what your pre-operative labs reveal. We also use a targeted pre-surgical carbohydrate loading protocol shown to reduce post-operative insulin resistance and support a smoother recovery.
How do peptides like BPC-157 help after surgery?
Peptides signal the body to repair tissue, reduce inflammation, and accelerate healing. BPC-157 is particularly valuable after surgery — accelerating healing in tendons, ligaments, muscle, and gut lining. The Wolverine Blend pairs BPC-157 with TB-500 for a synergistic effect: local repair plus systemic recovery. Growth hormone therapy may also be incorporated where eligible. These protocols are most commonly recommended for orthopedic and spine surgeries, though they can benefit a range of procedures. All protocols are supervised by Dr. Atoian.
What makes this different from what my surgeon already does?
Your surgeon's focus is the procedure itself — and rightly so. What most surgical practices don't address is everything surrounding it: your nutritional status beforehand, your gut recovery after anesthesia, and your tissue repair capacity during healing. Dr. Atoian works alongside your existing surgical team as a specialist in the perioperative window — not in place of them. His triple board certification in anesthesiology, pain management, and addiction medicine covers the full arc of what affects how surgery goes and how recovery unfolds.

Ready to Optimize Your Surgery?

A consultation with Dr. Atoian before your next surgery could meaningfully change how you go in — and how quickly you come out.

Surgery Optimization Program California | Perioperative Medicine | Limbic Medical
Brain Health & Neuroplasticity California | Cognitive Optimization | Limbic Medical
We Are Currently Providing Care Exclusively Via Telehealth For California Patients.