Skip to main content


NOTE: Before beginning the following steps, have your prescription for Halflytely® filled.


*Make sure to take the Bisacodyl tablets at 10a.m. then wait 6 hours to start Halflytely®


Clear liquids include black coffee or tea, clear fruit juices (apple or white grape), broth or bouillon, non-red gelatin dessert, Sprite, Gatorade and Ginger ale.

1.    In the morning, after a clear liquid breakfast, prepare your Halflytely® solution according to the instructions on the package and refrigerate.

2.    Have a clear liquid lunch.

3.    By 10 a.m. – Begin by taking the 2 time released Bisacodyl tablets provided in the prep kit box.

4.    At 4 p.m. – begin drinking Halflytely® as instructed – 8 oz. every 10-15 minutes until the bottle is empty. (Rapidly drinking a glassful is better than sipping an ounce or two at a time).

•You will have consumed several glassfuls before having the first loose, watery bowel       movement.

•Initially, you may feel slightly bloated, but will become more comfortable as you    continue   to have bowel movements.

5.    You can drink clear liquids up until midnight.

6.    Do not eat anything after midnight, until after your procedure.


1.       Hold your morning medicines until after the procedure.

2.       Please wear comfortable clothes, leave your valuables at home.

3.       Remember to come to your appointment with a responsible adult who is able to drive you home after you are released from your procedure.

In order to have a good diagnostic result, it is very important to follow these instructions. If you fail to follow these instructions there may be a need to reschedule your colonoscopy.


TEL (713) 794-0700 FAX (713) 794-0610

Obesity and Fatty Liver Disease

Obesity, and all of its related complications, is more serious than most adults in America believe. More than one-third (34.9% or 78.6 million) of U.S. adults are obese. Obesity-related conditions include heart disease, stroke, type 2 diabetes, fatty liver disease, and certain types of cancer, are some of the leading causes of preventable death. We are seeing an increase in the number of young children and adolescents developing obesity, and all of the related complications.

The cost of obesity is staggering, with annual medical cost of obesity exceeding $147 billion in 2008 U.S. dollars. The medical costs for people who are obese were $1,429 higher than those of normal weight.

Dr. Galati and the Liver Specialists of Texas team are dedicated to evaluate, treat, and manage all aspects of obesity and non-alcoholic fatty liver disease (NAFLD and NASH), including the complication of cirrhosis and liver failure. Developing a customized plan of care for each patient they see is their objective.

Liver Transplant Resources

Dr. Galati has been involved in Liver Transplantation since 1989. As Medical Director for the Center for Liver Disease and Transplantation at Houston Methodist Hospital, Dr. Galati has cared for thousands of patients with advanced liver disease. In those with the most severe form of advanced liver disease and cirrhosis, liver transplantation is a life-saving surgery. For more information on liver transplantation, click here.

Indications for liver transplant include:

Online LIVER Second Opinion

  • 1

    From the comfort of your home, without the need to spend additional money on travel, lodging, and food, receive and expert second opinion from the expert physicians at Liver Specialists of Texas

  • 2

    There are five steps in the process of requesting a second opinion. We anticipate the steps will take you about 30-65 minutes to complete.

  • 3

    Have your medical records or those of your loved one on hand as you fill out the medical history questionnaire portion of the online process. The medical history questionnaire is detailed so having medical records to quickly reference will help make the process more efficient.

  • 4

    To start the process of an Online Liver Second Opinion, please fill out the initial contact form and fax back to our office. A representative from our office will call you for additional details.