Be cautious, because combining certain supplements with blood thinners can be a dangerous mix! As a preventative cardiologist, Dr. Patrick Kee has encountered patients who, despite their best intentions, might be putting their health at risk. Their morning routine, which includes a green smoothie, a walk, and a handful of supplements, could be a recipe for trouble if they're taking blood thinners.
Blood thinners, while necessary for many, don't align with the 'natural' wellness trend. Dr. Randy Gould, a cardiologist, explains that the two main types are anticoagulants and antiplatelet medications. Anticoagulants, like Eliquis or Coumadin, are often prescribed for deep vein thrombosis or atrial fibrillation, helping to dissolve clots and prevent strokes. Antiplatelet medications, such as aspirin or clopidogrel, are used for coronary artery disease and stroke recovery.
Here's where it gets controversial: cardiologists warn against combining high-dose vitamin E and fish oil with blood thinners. Dr. Gould emphasizes that this combination increases the risk of bleeding. Fish oil and vitamin E, in high doses, have blood-thinning effects, causing platelets to function less effectively. Dr. Kee compares platelets to plugs that seal holes in blood vessels, and when you're already taking blood thinners, adding these supplements is like removing all the brakes.
The consequences can be severe, leading to nosebleeds, blood in urine or stool, and even cerebral hemorrhage if an accident occurs. Additionally, supplements are not as strictly regulated as medications, and their ingredient lists can vary widely between brands and batches, making dosing challenging.
So, what about the benefits of fish oil and vitamin E? Absolutely, they offer advantages for heart and blood health. Fish oil helps lower triglyceride levels, while vitamin E protects cells from damage caused by free radicals. However, moderation is key. Most people over 14 years old need only 15 milligrams of vitamin E daily, and for fish oil, adults benefit from 250-1,000 mg of EPA and DHA combined.
Instead of supplements, cardiologists suggest a 'food first' approach. Dr. Kee recommends fatty fish like salmon, mackerel, or sardines, and for vitamin E, snacks like almonds, sunflower seeds, spinach, and vegetable oils. This way, you get the heart benefits without the risk of excessive blood thinning.
Remember, if you're on blood thinners, consult with your healthcare provider before starting any new supplements. Your health is paramount, and it's always better to be safe than sorry!
