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As a physician and surgeon myself, I wholeheartedly endorse this product. It is really the first of its kind in the US, and it has been a huge success in my experience. Not only do I use it for all of my own surgical patients, but I have used it as a patient myself before a procedure. It makes a tremendous difference. The drink actually tastes pretty good, especially chilled overnight, but the best thing is that you go into surgery without the starving or thirst feeling, and you are much calmer, more relaxed, and you get through it much better. I think this should be the way of the future for preop care. There is plenty of scientific evidence supporting its use; we just have to convince our anesthesiologists that it’s time to drop the “old school ways” of nothing to eat or drink after midnight, and adopt the new evidence-based practices.