Patients bring more than prescription meds into the OR—and their “natural” products are anything but benign. This course gives anesthesia providers a practical, case-focused framework for screening, interpreting, and managing herbal and supplement use, with clear guidance on high-risk agents like echinacea, ephedra, garlic, ginkgo, ginseng, kava, St. John’s wort, and valerian. Learn how these products affect coagulation, hemodynamics, sedation, and drug metabolism—and how to time discontinuation and anticipate interactions with anesthetics and anticoagulants to keep your patients safe.