Dr. Patrick Kee, a preventative cardiologist at Vital Heart & Vein, has come across patients on blood thinners who share a morning routine that raises a red flag for him. He describes it as “a green smoothie, a brisk walk, and a handful of supplements promising to strengthen their heart.” While such routines may seem healthy, Dr. Kee notes that for those on blood thinners, the combination of natural supplements could lead to complications.
Blood thinners often clash with the wellness community’s perception of “natural,” yet they are crucial for many individuals. Dr. Randy Gould, a cardiologist with Manhattan Cardiology, points out that anticoagulant medications like Eliquis, Xarelto, or Coumadin are prescribed for conditions such as deep vein thrombosis or atrial fibrillation. He explains that these blood thinners dissolve existing clots or prevent new ones, reducing the risk of strokes. Others may rely on antiplatelet drugs like aspirin if they’ve had a recent stent placement or are recovering from a stroke.
While a vitamin-rich diet is beneficial, supplements can introduce risks. Dr. Joseph Allencherril, also a cardiologist, warns that combining certain supplements with blood thinners can unintentionally increase the risk of bleeding. It’s advisable for individuals on blood thinners to avoid high-dose vitamin E (over 400 IU daily) and fish oil together, as both have blood-thinning properties, potentially exacerbating existing conditions.
Be Cautious with Supplements
Dr. Ameen Person, a cardiologist, elaborates that both vitamin E and fish oil impair platelet function. He likens platelets to “plugs” that seal injuries in blood vessels. So, when you add these supplements on top of blood thinners, it effectively diminishes your blood’s ability to clot, which could result in issues like spontaneous nosebleeds or even more serious complications like cerebral hemorrhages.
Furthermore, Dr. Allencherril emphasizes that supplements lack the rigorous regulation that medications have. The amounts of active ingredients can vary significantly, making it essential for anyone on blood thinners to avoid casually introducing new supplements and to disclose them to medical professionals prior to any procedures.
Benefits of Fish Oil and Vitamin E
Despite the risks, fish oil and vitamin E have notable health benefits. Fish oil can help lower triglyceride levels, while vitamin E protects cells from free radical damage, which is linked to aging and various diseases. However, moderation is key, and the appropriate daily intake of vitamin E for most adults is about 15 milligrams. Those on blood thinners are advised to be particularly cautious, especially with high doses.
Natural Sources
Cardiologists recommend getting these nutrients through food rather than supplements. Dr. Kee suggests aiming for two servings of fatty fish each week, like salmon or mackerel, and obtaining vitamin E from snacks like almonds and sunflower seeds. This way, individuals can enjoy the health benefits while mitigating the risks associated with high doses of supplements.
