In addition to the health care effects claimed, the health care products under treatment are not fully confident if they have other effects or possible effects of the active ingredients, such as coagulation function, interaction with drugs during anesthesia/surgery period, etc., in order to be cautious, it is recommended to stop using it 2-3 weeks before surgery.

Since 2012, the market size of health products in Taiwan has exceeded NT$100 billion every year, which is equivalent to the price of two 101 buildings in Taipei. In recent years, even in the sluggish atmosphere, the business sales of health products have continued to grow in opposition. According to the results of a survey conducted by a thousand-person questionnaire by a magazine two years ago, about 40% of Taiwanese people have taken health products; they also analyzed the health products for the Chinese Internet, from vitamins, calcines, ginger seeds, deep-sea fish oil, to Chinese herbal medicines/plant extracts and purified products, such as apricots, garlic essence, ginger, ginger, red sedum, sedum, flax seeds, green tea, etc. Promote health and value self-care concepts and consumption, Taiwan is synchronized with Europe and the United States.

An analysis report from a domestic ophthalmologist: "Detecting Patients with cataract surgery were not informed of taking health foods before surgery, and half of them had eye bleeding during or after surgery, two percent of which were severe intraocular bleeding, and eighty percent were severely severely and lower sub-colonal bleeding; but not severely, the total number of bleeding patients before surgery ate silver apricots, deep-sea fish oil, nabean, red koji or red sedum. According to the study statistics, the highest rate of eye bleeding among those who ate silver apricots was 45%, followed by 35% of deep-sea fish oil, 32% of nabean, 30% of red koji, and 18% of red sedum. (Excerpted from 20150406 Apple Daily)”. Therefore, when evaluating whether long-term medications will increase the risk of anesthesia or surgery combined, health products should also be included.

In order to combine the stable control of chronic diseases and surgical results, clinical decision-makers are trying to use medicines for long-term use of chronic diseases because the documents available for reference are limited and the strength is also weak. Whether to stop before surgery and when will the clinicians start to stop? Compared with prescription drugs, the relevant articles that explore health care products before surgery are mostly based on case reports and animal experiments. Although the clinical evidence/credibility is even less, the purpose of taking health care products is different from chronic disease drugs. By evaluating the expected benefits and risks, the consequences of stopping use before surgery should be much smaller.

In terms of existing data, health products are mostly related to bleeding, drug interaction, and qualitative qualitative effects of blood pressure. Generally speaking, health products that may affect coagulation and platelet function, in addition to apricots, deep-sea fish oil, napkin, and red sedum, bee gel, flax seeds, green tea, seaweed/brown algae, ginger, papaya enzyme, vitamin E/C, as well as Chinese herbal medicine monotherapy, such as garlic essence, prickly saccharine, Western sedum, human sedum, sedum, red flower, etc., cannot rule out the potential bleeding hazards. For surgery with more bleeding volume, those related to blood vessels, neurologies, and ophthalmology should not be taken lightly. Secondly, although the lemon syrup (also known as kosher peach and sanctum wort, mainly used as anti-corrosion agents), which do not affect the coagulation mechanism, will induce/activate the activity of liver enzymes, and accelerate the rate of elimination of the drug. In order to avoid the surgical procedure and the drug treatment results not meeting expectations, experts recommend that a 5-day pause be suspended before surgery. In addition, it is not related to coagulation, but it is best to stop using anesthesia (health care purposes such as weight loss). Based on the impact on cardiovascular and blood pressure, the use must be stopped for at least 24 hours before surgery.

Health products derived from natural ingredients or Chinese herbal medicines/herbs extracts, and their active ingredients content is far beyond the raw materials themselves. Even if it cannot be claimed for medical efficacy, its effect on physiological functions cannot be underestimated. In order to reduce the incidence of surgery-related symptoms, the health care products taken should also be compared with chronic diseases. The doctor will be informed before the surgery and discontinued according to the conditions appropriately.