the saddest part of it all is of all the patients that come with malnutrition for these major operations only one in five less than 20% are getting these simple straightforward interventions that a are inexpensive and B are highly effective and how effective are they well we know for instance that if you treat a patient coming for a major GI surgery with a formula that contains some Arginine in particular and perhaps some fish oil in addition along with some other protein content you can reduce the risk of infection by 40% with just 5 days of treatment before the operation five days not five weeks not five months five days 40% reduction and this is in thousands of patients studied these studies are in good journals U they're in a wide group of patients and this effect this benefit actually doesn't depend on the patient being malnourished this data is the same whether the patient well-nourished or malnourished so our bodies have evolved a mechanism by which when we get injured whether it's a tiger that bites us or a surgeon that hits us about three days after that surgery or that trauma our immune cells begin to deplete Arginine in our spleen and lymph nodes to keep our own immune system from attacking us and possibly injuring us further but that's of course for many many years ago where if you didn't get up off the ground and start eating again after 3 days after the tiger bit you you didn't live well now of course after 3 days we we don't want your body to shut down your immune system and we obviously want you to live more than three days and so by giving back Arginine we can prevent this Arginine depleting effect that all of us as humans have and improve immune response to infection and prevent infections dramatically like I said by 40% with this simple intervention and so just by giving Arginine for 5 days before or if let's say it's a surgery we don't have a lot of time to repair for like an emergent surgery you can give the Arginine and fish oil after the surgery and get the same benefit so it works if you give it before before and after or just after and so that's why this is one of the essential components of the menend repair and recover product that we wanted to be sure was in the right amounts that have been studied that could easily be administered and utilized by surgeons and patients to optimize their recovery