The Thoracic Peri-Operative Integrative Surgical Care Evaluation Trial - Stage III

1,000 - 10,000 units daily based on serum levels for the duration of the study

1.5g twice daily for the duration of the study

3g once daily for the duration of the study

12 billion colony forming units daily during the peri-operative period (approximately 1 month pre and post-surgery)

1 scoop (22g) once daily during the peri-operative period (approximately 1 month pre and post-surgery) and during any adjuvant chemotherapy and radiation treatments

1.2g twice daily after the peri-operative period. including during adjuvant chemotherapy and radiation

700 mg twice daily after the peri-operative period. Will not be given during adjuvant radiation or chemotherapy treatments.

Based on the Mediterranean diet and lower glycemic index foods

150 minutes moderate intensity aerobic exercise per week plus the addition of a resistance exercise program on 2 of those days

Activities with the intention of actively improving the participant's mental and emotional health