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Vitamin K and Coumadin

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  • Vitamin K and Coumadin

    Hi there! I will be starting my new woe tomorrow, I've been reading for the past week in preparation. However, a month ago I was diagnosed with a bloodclot in my lung. I am on coumadin. The problem is that I am only allowed 2 servings of "greens" a week because the vitamin K fights the coumadin. These are the veggies that are high:

    asparagus, broccoli, brussel sprouts, cooked cabbage, collard greens, eggplant, kale, mustard greens, onions, spinach and turnip greens.

    I love nothing more than a big salad, but can you offer any other suggestions of veggies? I dont mean to sound stupid, but I am drawing a blank. I used to eat an entire bag of frozen broccoli, or brussel sprouts in a sitting but guess I cant do that anymore

    Thanks in advance for your help!

  • #2
    Winter squash, green beans, onion, zucchini, yellow sqash

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    • #3
      I am going to have to do some serious meal planning I think.

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      • #4
        Talk with your doctor or pharmacist: the issue is consistency. If you want to have those leafy greens, you theoretically CAN have them, you just need to be consistently taking them, so that you have a consistent INR.

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        • #5
          Originally posted by reflex View Post
          Talk with your doctor or pharmacist: the issue is consistency. If you want to have those leafy greens, you theoretically CAN have them, you just need to be consistently taking them, so that you have a consistent INR.
          From talking to folks on coumadin I understand this is true. I think that Dr's are so used to people that happily comply with the orders to ditch the healthy stuff or have patients that don't eat it to begin with that they don't have the discussion.
          Wheat is the new tobacco. Spread the word.

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          • #6
            Vitamin K in the case of vascular disease is quite confusing. Its commonly stated that Vitamin E and Vitamin K are antagonists because the former is antithrombotic while the latter is prothrombotic. Yet recent research out of Maastrict by Cees Vermeer's group is showing that Vitamin K inhibits arterial calcification.

            This means that advice to reduce green vegetables or grassfed dairy could be deleterious. I would definitely ask for the coumadin to be managed in conjunction with a diet rich in these vegies
            Four years Primal with influences from Jaminet & Shanahan and a focus on being anti-inflammatory. Using Primal to treat CVD and prevent stents from blocking free of drugs.

            Eat creatures nose-to-tail (animal, fowl, fish, crustacea, molluscs), a large variety of vegetables (raw, cooked and fermented, including safe starches), dairy (cheese & yoghurt), occasional fruit, cocoa, turmeric & red wine

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            • #7
              Yes - it is all about maintaining a consistant diet. You should decide how many leafy greens you want regularly in your diet and then adjust the dosage accordingly. But you NEED to do this with your doctor and monitor your INR VERY closely while you are adjusting. Then stick with the amounts you are eating.

              A bloodclot in the lung is nothing to mess with - so make sure the is all done under the close care of your doctor.
              Using low lectin/nightshade free primal to control autoimmune arthritis. (And lost 50 lbs along the way )

              http://www.krispin.com/lectin.html

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              • #8
                I have told them several times how many greens I eat and they consistently limit me to 2 servings. I am not sure if this is because they are still working on getting my INR consistent? Grocery shopping was a nightmare, the squash and zucchinis were laughable..I cant believe they even put them out. I managed to get frozen veggies and some fresh peppers, snow peas, and mushrooms. I have my INR checked again on Friday and I will mention to them that I want to add more greens.

                Also I was reading about the Omega 3's and 6's, I am confused, I am taking a supplement that is both. Is that ok? Or should I only be taking and Omega 3 fish oil pill? I dont like fish...

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                • #9
                  If your INR is up and down, then you need to be more consistent in what you eat until the INR is consistent. What have your INRs been? How often are you getting tested? Are you under the care of an Anticoagulation Clinic (otherwise known as a Coumadin clinic)? One month out of an embolism isn't the best time to start a new eating regimen. Make sure to let the clinic or doc know about any and all supplements you take.
                  Positively Radical Pigeonholes are for Pigeons!

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                  • #10
                    I go to the coumadin clinic 1x a week. The last two weeks I have been at 2.1 (I should be between 2.0 and 3.0). You are probably right that I picked a bad time to change my eating habits, but my health is out of control, this really scared me and continuing to eat the way I was is no good either. The only supps. I am taking are fish oil and I have let them know about those other than that everything else is prescription

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                    • #11
                      Limiting you to 2 a day is BULLSHIT. Sorry, no other way to put it. I have had 2 DVTs on separate occasions and the key, like others have mentioned is consistency. You want to eat the same number of servings everyday but it does not have to be limited to 2! Are you also on heparin (or something similar) injections? INR testing once a week is a pretty common frequency unless you're going to be a lifer then they'll reduce you to once a month (once you're stabilized.)

                      I can't tell from your nic if you are male or female but did they also mention no birth control pills? No flying? No operations without pre-care? Driving no more than 2 hours without taking a break? I'm always astounded by the things the doctors chose to mention and the other things they fail to mention. Like not eating your green veggies is doable but quitting your birth control is not, meanwhile the birth control is way more of a risk.

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                      • #12
                        Thanks I agree, and its not 2 a day its 2 a week. I was on lovanox but once I hit the 2.1 level I was able to stop the shots. I am female, and they did say no b/c or hormones. So I am dealing with menopause also all on my own...phooey. But no they did not mention any of the other things at all. Seriously no flying???? Is that while I have the clot? They never have mentioned re-checking the clot, all they said was the body will absorb it in 3-6 months, and that I will be on coumadin forever.

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                        • #13
                          Oh, sorry I misread the 2 to 2 a day. A week is even more bullshit!! For menopause, go see a naturopath. I was 24 when I got my first clot (after the birth of my daughter.) At the time, other than just giving birth, I was in good shape. No health issues and no family hx. I was on coumadin for 18 months the first time. I know they wanted me to be a lifer, but I refused. My body never completely got rid of the clot or the damage done to my valves but it doesn't stop me from doing what I enjoy. Flying is ok, but you need to be prepared, making sure your blood is flowing more freely and that you get up and walk around A LOT. Flying causes the majority of blood clots because your blood pools and moves differently when you're at different elevations.

                          I know the whole experience is frightening, but step away from it for a minute and think back to basics. How would it ever be bad to eat green veggies (apart from a true anaphylaxis)? Just be consistent and they can work on controlling your INR.

                          If you don't feel comfortable with your follow-up care, change doctors.

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                          • #14
                            I did have a history of bloodclots with my pregnancies~I've had 4 pregnancies and one live birth. My son was born at 29 weeks due to a bloodclot in the placenta. A good friend of mine just finished school and opened a practice in chinese medicine, I think I will call her. Thanks for your help I will talk to them on Friday about adding more greens, I personally dont see anything wrong with them

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                            • #15
                              There are lots of other veggies though, in the meanwhile. All of the other colors, right? Beets, carrots, eggplant, red cabbage, garlic, parsnips, radishes, rhubarb, rutabagas...
                              "If man made it, don't eat it." ..Jack LaLanne
                              "It doesn't matter how beautiful your theory is, it doesn't matter how smart you are.
                              If it doesn't agree with experiment, it's wrong." ..Richard Feynman

                              beachrat's new primal journal

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