Foods on warfarin

[ashadds]

I eat mainly an indian diet right now

rice + lentil based broth + some vegetable

We cook the vegetable with some spices like turmeric, ginger, etc

I dont eat the same vegetable every day

ex : The vegetable could be okra, cabbage , beans or potatoes

Just curious once starting long term anticoagulation therapy should something change on this diet ?

 

[ashadds]

My diet as you see is not what you would call “consistent” but I want to make sure I understand what “consistent” is ? cut out vitamin k , I also travel and while traveling may eat completely different foods like ex: in japan

 

[Superman]

Test consistently. Adjust your dose as needed for changes in INR.

If the rest of your diet is in moderation, you should have no issues. I do not even think about my diet outside of trying to be mindful of good health, energy, and weight.

 

[user 15848]

I eat mainly an indian diet right now
We cook the vegetable with some spices like turmeric, ginger, etc

Tummeric WILL increase your INR in an strong way so i had to drop it, my INR
used to jump to 6.2 out of control, but, we are all "different" and eat different things,

Just, test once a week and see how it goes, IF, you see out of control jumps in INR
is possible due to Tummeric

 

[dick0236]

Test consistently. Adjust your dose as needed for changes in INR.

If the rest of your diet is in moderation, you should have no issues. I do not even think about my diet outside of trying to be mindful of good health, energy, and weight.

I have always done as Superman suggests. The old "truism" applies........"adjust your dose to your diet and NOT your diet to your dose". Try to be relatively consistent in your diet.........but not rigidly consistent.

 

[pellicle]

Eat what you like when you like but not grapefruit
https://cjeastwd.blogspot.com/2021/05/grapefruit-and-warfarin.html
Test weekly, adjust as needed when and if needed to stay in range and in response to a INR trend.

PS: if you are worried about what you may have heard about vitamin K its at best over blown and probably in most cases harmful if you avoid a good diet

https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4998867/

In conclusion, the available evidence does not support current advice to modify dietary habits when starting therapy with VKAs. Restriction of dietary vitamin K intake does not seem to be a valid strategy to improve anticoagulation quality with VKAs. It would be, perhaps, more relevant to maintain stable dietary habit, thus avoiding wide changes in the intake of vitamin K. Based on this, until controlled prospective studies provide firm evidence that dietary vitamin K intake interferes with anticoagulation by VKAs, the putative interaction between food and VKAs should be eliminated from international guidelines.​

NOTE: warfarin is a VKA

 

[Chuck C]

I eat whatever I want, including foods with a lot of vitamin k and just adjust my warfarin dose to make sure that that I am in my INR range.
That being said, due to its anti-coagulation, I avoid tumeric.

"Concurrent use of turmeric/curcumin containing natural health products with these medicines may result in prolonged bleeding times and should be avoided (5).

The antiplatelet effects of curcumin do not explain the increase in the patient’s INR, but show that it may have additive effects when used with warfarin."

https://www.medsafe.govt.nz/safety/...eric/curcumin,effects when used with warfarin.

" Data showed that curcumin and BDMC prolonged aPTT and PT significantly and inhibited thrombin and FXa activities. "

https://pubmed.ncbi.nlm.nih.gov/22531131/
Personally, I had an unexpected INR spike about 8 months ago. The only thing that I ate the previous 24 hours that was unusual for me was a Thai soup, which had significant tumeric. I can't say for certain that it was the tumeric that my raised my INR, but many guidelines do recommend avoiding tumeric when on warfarin, and so I do so.

 

[pellicle]

That being said, due to its anti-coagulation, I avoid tumeric.

because of my own enthusiasm for Indian cooking I don't avoid tumeric and use it pretty often. I have not noted any changes in INR nor in brusing.

I think its important to consider how much curcumin one is actually likely to ingest in a meal when its spread across the entire dish.

Just reporting, but ultimately test and verify and if you eat it daily ... well then dose the diet right?

 

[pellicle]

Just curious once starting long term anticoagulation therapy should something change on this diet ?

no, only your dose and only if you are going out of range.

will you be taking warfarin or sinthrome?

 

[tom in MO]

I eat mainly an indian diet right now

rice + lentil based broth + some vegetable

We cook the vegetable with some spices like turmeric, ginger, etc

I dont eat the same vegetable every day

ex : The vegetable could be okra, cabbage , beans or potatoes

Just curious once starting long term anticoagulation therapy should something change on this diet ?

No need to change your diet just because you take warfarin. Wouldn't worry about the tumeric if you use it as a spice, but if you take large quantities as a supplement...I'd ask my doctor.

 

[ashadds]

no, only your dose and only if you are going out of range.

will you be taking warfarin or sinthrome?

Hey pellice

I am being followed for now and not inder medication. But most probably considering a few choices and one of them is onx , so likely warfarin. Iam learning as much as I can before the surgery

 

[pellicle]

... Iam learning as much as I can before the surgery

I recall you'd asked this question before, if I was you I'd start a file on what you have learned so that you're not relying only on memory. The answers to questions should be in that file. I strongly recommend that this is not your phone. If you don't have a computer then I recommend getting one. Make sure you back up your files because it may be years before you have surgery.

As to valve research I strongly recommend that you do research on actual data not company glossy brochures. Remember that companies are not "the good fairy" and have an agenda. On-X has an agenda that goes like this: St Jude is the established player on the board, with an excellent reputation and millions of functioning valves in place, what can we do to get into that market? IDEA: lets prey on the ignorance and fears of people on the horrors of Warfarin.

The actual situation of warfarin is quite different to the anxiety riddled newbie who has not a clue but is unconsciously responding to the messages of FEAR that are given widely in the surgical and ACT management organisations.

Why fear?

Well because everyone in the medical and clinical world knows that people just don't take what they are supposed to take when they are supposed to take it. As much as half of the patients on warfarin become non takers after a year or so ...

There is actually nothing that anyone can point to and show that the On-X valve is anymore magical than the St Jude or others, indeed we have some evidence that they do not live up to their own claims, either physically:

https://www.valvereplacement.org/threads/aortic-valve-choices.887840/page-2#post-902334
or pharmacologically
https://www.valvereplacement.org/threads/failure-of-onx-valve-and-problems-with-lowering-inr.878615/
note that above title is misleading, the problem is not a mechanical failure but that the patient came to harm by following the guidance of the lower INR ... Why? In short the trial was too short and did not cover enough patients and had a presumption of INR monitoring that few in practice do.

This failure of the patient compliance has been known for thousands of years

So, keep your research on strictly science and keep notes (as any good researcher must)

Best Wishes

 

[Protimenow]

I'm going to jump in here - after months away from this site - with a reminder : if you DO adjust your dosage, do it in small increments, and only if you see a trend developing. Consistent dosing will help level out any spikes or drops within a few days -- and if it doesn't it may require a small change. Making frequent, fairly large changes (large is probably anything more than .5 mg), can start you on an INR roller coaster, and it may be difficult to easily get the dose that works best.

Over the 13 years that I've been testing, I think I only made 5 or 6 changes, most recently dropping from 7 mg/day to 6.5.

 

[pellicle]

if you DO adjust your dosage, do it in small increments, and only if you see a trend developing. Consistent dosing will help level out any spikes or drops within a few days -- and if it doesn't it may require a small change. Making frequent, fairly large changes (large is probably anything more than .5 mg), can start you on an INR roller coaster, and it may be difficult to easily get the dose that works best.

exactly

 

[ATHENS1964]

I usually measure the inr every Friday at noon to know what I will eat and drink on the weekend .
If I'm close to 3.0 and the whole week I have a stable diet without a lot of drinks and greens then on Wednesday or Thursday I eat something like this, if I'm lower than 2.5 or I'll eat carefully until I see the inr or if I eat a lot of greens I'll increase a little the dose. Today I was jealous of this food and I ate lightly and a beer and the balance is fine, one drops the other increases inr

 

[Mister_James]

I usually measure the inr every Friday at noon to know what I will eat and drink on the weekend .
If I'm close to 3.0 and the whole week I have a stable diet without a lot of drinks and greens then on Wednesday or Thursday I eat something like this, if I'm lower than 2.5 or I'll eat carefully until I see the inr or if I eat a lot of greens I'll increase a little the dose. Today I was jealous of this food and I ate lightly and a beer and the balance is fine, one drops the other increases inr

Uhm peas do not count in Vitamin K. It's not green food it is dark leafy greens - Kale, Spinach and Collard Greens and cooked too. Our bodies cannot do a lot with uncooked greens.

I cup of cooked kale is like 20 cups of peas and it's easy to eat 2 cups of kale but 5 cups of peas...if you love it that much is still nothing.

Same thing with broccoli, Brussel sprouts, cabbage, avocados...eat your fill. They move the needle very little but the dark green leafies cooked, those pop like Popeyes

 

[Mister_James]

This is me daring the vitamin k gods

 

[Superman]

DON’T DO IT, MR. JAMES!!! YOU HAVE SO MUCH TO LIVE FOR? I guess I don’t really know that for sure.

 

[ATHENS1964]

Uhm peas do not count in Vitamin K. It's not green food it is dark leafy greens - Kale, Spinach and Collard Greens and cooked too. Our bodies cannot do a lot with uncooked greens.

I cup of cooked kale is like 20 cups of peas and it's easy to eat 2 cups of kale but 5 cups of peas...if you love it that much is still nothing.

Same thing with broccoli, Brussel sprouts, cabbage, avocados...eat your fill. They move the needle very little but the dark green leafies cooked, those pop like Popeyes

Mediterranean foods also have herbs in large quantities such as basil, parsley, anise, oregano.
https://fdc.nal.usda.gov/fdc-app.html#/food-details/172232/nutrients

 

[ATHENS1964]

This is me daring the vitamin k gods

Of course I eat greens and spinach and asparagus, but all with a schedule