PERIOME

From the moment surgery is scheduled to the point of full recovery.

PERIOME is the perioperative health company. We carry the patient through the surgical window — with clinically grounded preparation, daily guidance, and recovery intelligence that surgery has never had.

The system has done the administrative work to get the patient to surgery. PERIOME does the rest.

The Gap

Surgery is organized around the procedure. Not around the patient.

The surgical system schedules the patient, screens the patient, consents the patient, and discharges the patient. But from the moment surgery is scheduled to the moment recovery ends, the patient moves largely without structure, support, or clinical visibility.

They receive instructions. They wait. They show up. They go home.

What happens in between — the physiologic preparation, the daily readiness, the recovery arc — has never had a system responsible for it.

PERIOME is that system.

The Perioperative Journey

Three phases. One connected arc.

PERIOME begins when surgery is scheduled. It doesn’t end until recovery does. The patient moves through three phases — each with a defined clinical job, a daily plan, and a team watching.

Phase 1

Preparation

From scheduling through the day before surgery

The patient receives their PERIOME invitation within 24 hours of scheduling. They complete a three-minute intake. Their surgical timeline appears immediately — what to do today, what to expect, and when to escalate.

Every day of the preparation phase has one job: bring the patient to surgery less depleted and more ready than the system would otherwise allow.

Daily guidance covers hydration, nutrition, sleep, medication reminders, fasting clarity, and pre-operative check-ins. Anxiety is tracked. Readiness is measured. The clinical team receives structured signal before the PAT call that currently doesn’t exist.

Phase 2

Surgery Day

The clinical handoff

On surgery day, PERIOME steps back. The surgical and anesthesia team leads. PERIOME’s role on this day is minimal by design — one final safety confirmation, no new guidance, nothing that competes with the clinical team’s instructions.

What the clinical team has, that they didn’t have before: a readiness snapshot. Preparation adherence. Anxiety trajectory. Hydration status. Medication compliance. Friction flags. The patient, finally known before induction.

Phase 3

Recovery

Days one through seven post-surgery

The patient goes home. In the current system, they largely disappear. PERIOME stays.

Daily recovery check-ins track pain trajectory, GI recovery, hydration, mobility, sleep, and patient confidence. Concerning patterns surface alerts. The surgical team has visibility into recovery that currently ends at discharge.

The patient feels observed. The clinical team feels informed. Recovery becomes a measured trajectory, not a black box.

The First Assignment

Every preparation plan begins with PERIOME PROTOCOL.

PERIOME PROTOCOL is the first physical intervention inside the PERIOME platform — a physician-designed 14-day perioperative nutrition protocol built around the specific physiologic demands of the surgical window.

Seven days before surgery. Seven days after. One daily stick pack across five physiologic domains. Formulated by a board-certified anesthesiologist. Not a wellness product. A clinical intervention designed to be recommended with confidence and completed without complexity.

Hydration & Electrolytes

Supports fluid balance and electrolyte status across the perioperative window, particularly during the days of reduced intake before surgery.

Mitochondrial & Metabolic

Addresses the cellular energy demands created by fasting, surgical stress, and recovery with targeted mitochondrial cofactors.

Neurocognitive

Provides neurotransmitter precursors relevant to anesthesia emergence and post-operative cognitive function.

GI Integrity & Recovery

Supports mucosal barrier integrity and GI tolerance through the period when fasting, antibiotics, anesthesia, and surgical stress converge.

Microbiome & Micronutrient Foundation

Delivers targeted probiotic strains and activated-form micronutrients to maintain the physiologic foundation through surgical stress.

14 days · 7 pre-op + 7 post-op · One daily stick pack · No prescription required

Review the science
For the Clinical Team

The same platform that prepares the patient generates signal for the team.

PERIOME is not a patient app that clinicians hope patients use. It is a perioperative system that generates structured readiness data and places it in front of the clinical team at the moments it matters.

Before the pre-anesthesia evaluation call

A one-page readiness brief — preparation adherence, hydration status, anxiety trajectory, medication compliance, friction flags, and recovery risk signals. Information that currently has to be asked for, if it’s asked for at all. Available automatically. No manual input required.

On surgery morning

A patient snapshot — NPO confirmed, PERIOME PROTOCOL completion, last hydration timestamp, anxiety trend, relevant patient-reported history. The patient, known before induction.

Through recovery

A recovery view — pain trajectory, GI recovery, mobility, patient confidence, and escalation flags. Visibility into the post-discharge window that currently goes dark.

The goal is not more data. It is the right signal, at the right moment, for the clinician who needs to act on it.

The Platform

The perioperative period’s first learning infrastructure.

Every patient who moves through PERIOME generates something the perioperative period has never had — structured, longitudinal physiologic data across the full surgical arc. Preparation behavior, readiness trajectories, recovery patterns, and outcome signals, connected across the window.

That dataset is the foundation for what PERIOME is building: a perioperative readiness score that quantifies physiologic preparedness before surgery, a recovery intelligence layer that identifies trajectory from the first post-op day, and eventually a genomic precision layer that personalizes the surgical preparation plan to the individual patient’s biology.

The companies that define perioperative health will be the ones that own that data. PERIOME is building it from patient one.

Get Started

Two ways in.

I have surgery scheduled.

PERIOME is launching at surgical facilities across the country. Enter your information to be notified when PERIOME is available at your facility — or to connect your surgical team with our clinical program.

You’re on the list. We’ll be in touch.
I want to bring PERIOME to my patients.

If you are a surgeon, anesthesiologist, ASC director, or health system leader interested in piloting PERIOME at your facility, we work directly with surgical programs to design implementation, structure outcome measurement, and build the evidence base.

Start a Pilot Conversation

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Always follow your surgical team’s instructions.