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Supplements and Blood Thinners

What can and can't you take on anticoagulants

If you're on warfarin, aspirin, or other blood thinners, your supplement choices matter more than average. Some combinations increase bleeding risk significantly.

TL;DR

Avoid or discuss: Fish oil, Vitamin E, Ginkgo, Garlic, Ginger, Turmeric (all thin blood). Watch Vitamin K intake (counteracts warfarin). Safe for most: Vitamin D, B vitamins, Magnesium (at normal doses).

Why This Matters

Blood thinners already reduce your clotting ability. Adding supplements that also affect clotting creates an unpredictable bleeding risk. Too much thinning = dangerous bleeding. Too much Vitamin K = medication doesn't work.

Avoid or Discuss First

Increase bleeding risk

Adds to blood-thinning effect

Low doses may be okay with monitoring. ask doctor

Additional anticoagulant effect

Above 400 IU daily is concerning

Significant blood-thinning properties

Generally should avoid on anticoagulants

Anti-platelet effects

Food amounts usually okay, supplements are concentrated

Anti-platelet and anti-inflammatory

High-dose supplements are concerning

Affects platelet function

Tea and cooking amounts fine

Special Case: Vitamin K

Directly affects warfarin

Vitamin K is the ANTIDOTE to warfarin

Consistency matters more than avoidance. keep intake stable

Generally Safe

No significant interaction at normal doses

No significant interaction

Safe to take, but always disclose

No significant interaction

Generally safe

No direct interaction

Normal doses are fine

No significant interaction

Safe to take

What To Do

  • Disclose ALL supplements to your prescribing doctor
  • If on warfarin, keep Vitamin K intake consistent (not zero, but stable)
  • Get INR tested more frequently when changing supplements
  • Don't stop blood thinners. adjust supplements instead
  • Ask before adding ANY new supplement

Common Mistakes

  • Avoiding all Vitamin K (causes unstable INR levels)
  • Starting fish oil without telling doctor
  • Thinking "natural" blood thinners are safer
  • Not connecting supplements to easy bruising or bleeding

The Bottom Line

Blood thinners are serious medications. Your clotting balance is already adjusted. Adding blood-thinning supplements without guidance is risky. Always discuss first.

Related Safety Guides

About this information: Our recommendations draw from peer-reviewed clinical trials, systematic reviews, and the same medical databases your doctor uses. These statements have not been evaluated by the FDA. Supplements are not intended to diagnose, treat, cure, or prevent any disease.

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