Since green tea contains vitamin K, it can make warfarin ineffective. Vitamin K is a nutrient found in high amounts in spinach, kale, and collard greens. In general, the best types of tea are those made from the Camellia sinenses shrub: black, white, green, and Oolong, according to Janet Bond Brill, PhD, RD, a cardiovascular nutritionist and author of Blood Pressure Down: The 10-Step Plan to Lower Your Blood Pressure in 4 Weeks Without Prescription Drugs. Eliquis is in the drug class factor Xa inhibitors . When taking Eliquis, it is safe to consume leafy green vegetables, grapefruit juice, cranberry juice, coffee, and peppermint tea because these are the most commonly linked food-drug interactions. chamomile lotion and drinking chamomile tea while taking warfarin had a life-threatening case of internal . When it comes to green tea, moderation is required. How Eliquis works | Foods to eat with Eliquis | Foods to avoid with blood thinners | Gastrointestinal side effects of Eliquis. 1. Green tea contains a lot of vitamin K, which can make it more difficult for this medication to work. Swallow this mixture straight away. Answer: Yes, several popular herbal supplements can impact the effectiveness of apixaban (Eliquis), rivaroxaban (Xarelto), betrixaban (Bevyxxa), and other anticoagulant drugs (blood-thinners) classified as direct factor Xa inhibitors.These blood-thinners are broken down in the body by the liver enzyme CYP3A4. But you can also find it in some plant foods, such as coconut and palm fruit. Low vitamin D levels are associated with an increased prevalence of deep vein thrombosis (DVT) (4). This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. It is important to note, however, that this does not necessarily imply that an interaction occurs. There are different amounts of unwanted effects depending on an individual. There is evidence of oncogenic (cancerous) activity in rats in studies with the related antibacterial drugs oxytetracycline (adrenal and pituitary tumors) and minocycline (thyroid tumors). Excessive caffeine consumption, for example, can lead to an irregular heartbeat, insomnia, nervousness, decreased bone density and . Thus, in the morning I would take the medication, wait whatever time frame my doctor advised (I would guess it would probably be about 30 minutes) and then drink the lemon water. Is Green Tea Good for Pregnancy? Many patients placed on Eliquis for the first time have underlying heart disease. Taking too much vitamin E can cause excessive bleeding, so you shouldnt take vitamin E supplements while on Eliquis unless you speak with your healthcare provider. When is the best time to drink peppermint tea? A cup of peppermint tea is a refreshing, calorie-free, and caffeine-free beverage that can be enjoyed at any time of day. Honesty with your doctor reduces the possibility of any problems occurring. The most common blood thinner that doctors prescribe is warfarin . Elvira Bowen is a food expert who has dedicated her life to understanding the science of cooking. Anti means against and coagulant means to thicken into a gel or solid. A pillbox with a slot for each day may help you keep track of your medicines. 1991 13:441-448. Ideally, you would want to drink lemon water about 20 to 30 minutes before breakfast to help with digestion and utilization of nutrients from your food. I was looking on the Internet and found a site that says chamomile tea, garlic . Selected from data included with permission and copyrighted by First Databank, Inc. Vitamin K can be found in a variety of foods, including leafy green vegetables, red meat, and dairy products. 3. You can take Eliquis with or without food. 3) Herbs and supplements: Herbs and supplements can also thin the blood and should be avoided when taking eliquis. Because of its ability to keep the blood thin, vitamin K is essential. Because green tea contains vitamin K, it may be ineffective as a anticoagulant. 2018. https://www.ahajournals.org/doi/10.1161/jaha.117.008391. It also introduces BEST, an easy way to remember how to fit blood thinner medication into daily life. Common interactions include cardiac failure among females and gait disturbance among males. Fruits, vegetables, nuts, and soluble fiber are a few of the foods that can help keep you energized. Nutrition plays a big role in both physical and mental health, and I find joy in helping people reach their goals and notice a positive difference in how they feel. It is advisable to speak to a doctor or pharmacist before consuming any food or beverage while taking eliquis, as there may be potential interactions. There are a few foods to avoid while taking eliquis. Learn How Genetics Make Some Fans of Fear, Dr. Whyte's Book: Take Control of Your Cancer Risk, How Breast Cancer Changed My Life and Me, Health News and Information, Delivered to Your Inbox, List Eliquis side effects by likelihood and severity. Can You Drink Green Tea When Pregnant? It may also reduce the effect of medications metabolized in the liver or drugs that reduce stomach acid. Recommended Reading: Where To Purchase Smooth Move Tea. I am taking Eliquis and need to know what are some safe herbs and herbal teas. What about foods with the newer anticoagulant Eliquis? 2005 - 2023 WebMD LLC. It is also very important to be careful taking medications like ibuprofen (Advil, Motrin), naproxen (Naprosyn), and diclofenac (Voltaren), which are collectively referred to as nonsteroidal anti-inflammatory drugs (NSAIDs), while taking Eliquis. Since turmeric can increase bleeding during and after surgery, it's also recommended to stop taking curcumin supplements at least 2 weeks before a planned . This is one of the examples of a hibiscus tea side effect that is beneficial to some but a risk to others. The dosage for the metoporal was 12.5 MG three times a day. You should be especially mindful of your saturated fat intake if you have heart disease, high cholesterol, or other risk factors for heart disease. It is possible to increase your chances of developing CAD if you consume a diet high in saturated fats, red meat, and fast foods. Instead of high-saturated fat meat, try eating lean protein such as lean beef and pork, skinless poultry, and fish. Its important to watch out for signs of gastrointestinal blood loss while taking a blood thinner, which is a, and potentially life-threatening. Therefore, it is probably best to avoid eating broccoli (or any other food that might increase the risk of bleeding) while taking eliquis. For example, some blood thinners need to be taken at the same time of day, every day. Elvira is known for her creative approach to cuisine, and her passion for teaching others about the culinary arts. Recommended Reading: What Ingredients Are In Long Island Iced Tea. A change in your diet, medicine, or dosage may be necessary. What about foods with the, Eliquis is a blood thinner/anticoagulant that works by blocking factor Xa (pronounced tenA), which is a clotting factor in our blood that helps clots to form. Can I Drink Green Tea While Taking Eliquis, What Ingredients Are In Long Island Iced Tea, excess sugar, which can damage your heart, atherosclerosis, the buildup of plaque in the arteries, Why Does Twisted Tea Have Words On The Caps, Does Green Tea Extract Pills Help You Lose Weight, How To Make Avocado Seed Tea For Weight Loss, Over-the-counter medications, such as aspirin, other pain relievers, and cold medications, Vitamins and other supplements, such as garlic, Herbal products, such as green tea or ginkgo biloba, bleeding or oozing from the surgical wound. Always take your blood thinner as directed. Cancer Epidemiol.Biomarkers Prev. What tea can I drink while on blood thinners? Both teas are highly recommended for their health and mental benefits. In addition, green tea helps improve the function of endothelial cells in blood vessels, says Erin Palinski-Wade, RD, who works with heart patients and is also the author of Belly Fat for Dummies. Eliquis is not to be used if you have an artificial heart valve, have certain clotting disorders or abnormal bleeding, or are allergic to its active ingredients. Swallow the tablet with a drink of water. It is possible that eating saturated fats in high amounts raises your risk of plaque buildup, which could lead to heart attacks and strokes later in life. It is also very important to be careful taking medications like ibuprofen (Advil, Motrin), naproxen (Naprosyn), and diclofenac (Voltaren), which are collectively referred to as, nonsteroidal anti-inflammatory drugs (NSAIDs). Your blood can still clot while taking Eliquis, but it will happen more slowly, which means youre at a greater risk of excessive bleeding if you have an injury. Alemdaroglu, N. C., Dietz, U., Wolffram, S., Spahn-Langguth, H., and Langguth, P. Influence of green and black tea on folic acid pharmacokinetics in healthy volunteers: potential risk of diminished folic acid bioavailability. Ginkgo Tea. Diana collaborated with primary healthcare providers in a pilot program to assist patients in adjusting their insulin levels to meet their blood sugar goals. Deep Vein Thrombosis Prophylaxis after Hip Replacement Surgery. Blockages can also form from fatty plaque buildup, known as atherosclerosis. The side effects listed below are not experienced by everyone who takes this medication. Drinking alcohol while taking metoprolol is dangerous to the health. Its important to watch out for signs of gastrointestinal blood loss while taking a blood thinner, which is a serious side effect of Eliquis and potentially life-threatening. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. A total of 352 drugs are known to interact with Eliquis . Clinical studies on drinking green tea have found that it helps lower LDL cholesterol and triglycerides good news for your heart. If youre considering drinking St. Johns Wort tea for depression, talk to your doctor instead, Steinbaum says. Some foods act as natural blood thinners, but they arent nearly as potent as prescription anticoagulants. When combined with OTC agents like Chinese herbs, ginger, gingko biloba, herbal teas, and turmeric, apixaban can increase bleeding risk. This includes: The benefits of blood thinners can be life-changing. WebMD does not provide medical advice, diagnosis or treatment. These medications are used to slow blood clotting and include aspirin, clopidogrel (Plavix), ibuprofen (Advil, Motrin, and others), naproxen (Anaprox, Naprosyn, and others), enoxaparin (Lovenox), and more. As a result, Eliquis levels and effectiveness are not altered by vitamin K intake from foods such as spinach, broccoli, kale, brussels sprouts. Taking too much or too little Eliquis can result in abnormal bleeding or blood clots, which can be serious and even fatal. You should avoid taking turmeric if you have certain health conditions, including: Bleeding problems: Turmeric can slow down blood clotting.People with bleeding disorders should avoid turmeric even if they aren't on other blood thinners. St Johns wort can reduce the amount of Eliquis in your system, ultimately making the drug less effective. Women should limit their alcohol consumption to one drink a day, and men should limit it to two drinks a day. If you miss a dose, take it as soon as you remember. They also contain antioxidants which help fight inflammation. When the body produces grapefruit, it interferes with a key enzyme, causing drug levels to be extremely high or extremely low. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Ginger. The two main things to look out for in terms of this are red blood. First, Eliquis can increase the risk of bleeding, so it is important to avoid teas that contain high levels of caffeine or other stimulants. This is sometimes referred to as a. . Clozapine The anti-psychotic effects of the medication clozapine may be reduced if taken fewer than 40 minutes after drinking green tea. One of the benefits of Eliquis compared to other types of anticoagulants is that it doesnt have any known food interactions. The phase IV clinical study analyzes what interactions people who take Eliquis and Green tea extract have. This collaboration was the first of its kind in the organization. Can Green Tea And Hoodia Help You Lose Weight? A blood thinner is a kind of drug called an anticoagulant . Consult with your doctor if you have concerns about caffeine and Eliquis. Diarrhea, muscle pain, cramping, drowsiness, tremors and drop in heart rate are some of the side effects of the over consumption of peppermint tea. What you eat and drink can cause harmful effects when mixed with certain drugs. Risks and considerations. What Foods To Eat And Avoid While Taking Eliquis (Apixaban). What does it do? Its very important to take apixaban as your doctor has told you. If you have surgery planned, your healthcare provider can guide you on how to adjust Eliquis before and after surgery to minimize complications. Furthermore, you should not combine green tea and aspirin because they are both effective at preventing the formation of blood clots. Signs of a DVT usually include throbbing or cramping in your leg, leg swelling, warm skin around the painful area, and/or red and darkened skin near the site of the pain. Blood clotting is necessary for survival, but too much clotting can be problematic. Should Eliquis be taken with food? If you want an energy boost, Green Tea is your friend. If you think you may have a medical emergency, immediately call your physician or dial 911. August 7, 2022. It is intended for general informational purposes and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Experience She says the ingredient is epically dangerous if youre taking blood thinners or cardiac medications for heart failure, like digoxin, or if you require a stent or have atrial fibrillation. Blood thinner drugs work well when they are used correctly. Below are some examples of foods that have blood thinning properties. Green tea is thought to reduce hypertension, lower heart disease death rates, and improve glucose metabolism in your body. Your risk of bleeding is higher if you take other anticoagulant drugs like warfarin, heparin, aspirin, and non-steroidal anti-inflammatories (NSAIDs) like naproxen (Aleve) and ibuprofen (Advil). To help you learn about your medicine, your doctor has given you this booklet to read. Product labeling for Eliquis doesn't list an interaction with alcohol. (The two substances may prevent blood from clotting.) Side effects can be mild or severe, temporary or permanent. Avoid taking certain supplements while taking Eliquis (or at least speak to your healthcare provider about them), such as omega-3/fish oil, ginger, and any other potentially anticoagulant herbs in high doses. She recommends choosing green tea as often as possible if youre a tea drinker. You can find vitamin E naturally in foods like: Besides some foods, is there anything else you might need to avoid when taking Eliquis? Roncaglioni MC, Reyers I, Cerletti C, Donati MB, de Gaetano G. Moderate anticoagulation by salicylate prevents thrombosis without bleeding complications. Therefore, it is best to avoid drinking cranberry juice while taking eliquis. PPI interactions with alcohol can cause minor side effects. While this side effect is rare, those who have dizziness, especially sudden dizziness, while taking Eliquis should seek immediate medical care. Diana has worked as a dietitian in an inpatient hospital setting, where she assessed patients nutritional needs, recommended nutrition support, and offered nutrition education. Dietary restrictions are imposed by warfarin because it interacts with vitamin K, a nutrient found in green leafy vegetables and typically found in foods. Barr, H. M. and Streissguth, A. P. Caffeine use during pregnancy and child outcome: a 7-year prospective study. Studies do support that ginseng may lower blood pressure by relaxing the arteries, says Day. Eliquis is a blood thinner/anticoagulant that works by blocking factor Xa (pronounced tenA), which is a clotting factor in our blood that helps clots to form. Fortunately, Eliquis has not been shown to have a bad interaction with any foods. Find out how to avoid these four common food-drug interactions. Ephedrine When taken together with ephedrine, green tea may cause agitation, tremors, insomnia, and weight loss. Diabetes medications. It is advisable to speak to a doctor or pharmacist before consuming any food or beverage while taking eliquis, as there may be potential interactions. Your doctor can address the risks presented by drug interactions, allergic reactions and the vulnerability of special populations. The presence of other compounds in green tea may slow blood clotting and increase the effectiveness of these medications. I am a tea expert and professional herbalist and Ive been studying and practicing herbalism for over 10 years, teaching others about the healing power of plants for just as long. Promptly consult your doctor or pharmacist. Many people are aware of the old faithful blood thinner warfarin (brand name Coumadin), and how certain foods need to be avoided with warfarin. It is also recommended that you avoid any products that may interact with the drug, as this may result in complications. Green Tea and Antiplatelets. This combination can lead to increased drowsiness, dizziness or fainting, lightheadedness and blurred vision. Mixing these medications with caffeine . Although most of the side effects listed below dont happen very often, they could lead to serious problems if you do not seek medical attention. Dizziness or lightheadedness. Check with your doctor as soon as possible if any of the following side effects occur: Stop taking the medication and seek immediate medical attention if any of the following occur: Dont Miss: Is The Teas Exam Hard To Pass. Recommended Reading: Hot Green Tea Vs Cold. Omega-3 fatty acids can help prevent blood platelets from sticking together and forming blood clots. injuries. As with most teas, talk to your doctor if youre taking blood thinners like Coumadin or anti-platelet drugs such as Plavix . Tea consumption has been shown to lower the risk of heart disease. Medication Interactions Peppermint may interact with certain medications. While taking Eliquis, eat leafy green vegetables, grapefruit juice, cranberry juice, coffee, and peppermint tea to avoid food-drug interactions. With green tea, the leaves have been harvested and allowed to wither, and then steamed. Eating a healthy diet can optimize your cardiovascular and overall health while taking Eliquis. Powerful antioxidants in green tea especially one called epigallocatechin gallate, or EGCG can help prevent atherosclerosis, the buildup of plaque in the arteries. There is some data that ginger, ginkgo biloba, turmeric, and some Chinese herbs can result in an increased risk of bleeding when combined with a blood thinning medication such as apixaban. Can You Drink Alcohol While Taking Apixaban. Roman chamomile can be taken in several forms. I have problems with anxiety. View abstract. Pfizer predicted first-year sales of $350 million. 11420039) is registered in UK, manufactures in the US and distributes globally. Lets take a closer look. Studies show that drugs like antidepressants, thyroid medication and osteoporosis drugs can be affected by coffee. Green tea is one of the most popular beverages in the world. The usual culprits when it comes to food-drug interactions, such as leafy green vegetables, grapefruit juice, cranberry juice, coffee, and peppermint tea, are safe to enjoy while taking Eliquis. You . Energy Drinks & Blood Thinners. You may have heard that the St. Johns Wort herb can help treat symptoms of depression, but be wary of drinking this tea if you have a heart condition. alcohol use disorders. According to the American Blood Clot Association, one study showed that the alcohol content in 1 or 2 drinks could potentially decrease blood clotting. As such, switch to a heart-healthy diet, with fruits, veggies, nuts, and soluble fiber. . DVTs sometimes dont have any symptoms. Well discuss Eliquis in depth in this article, as well as what foods to eat and avoid while taking Eliquis (Apixaban). Mixing diabetes medication with alcohol is never a good idea. 2001 74:227-232. The use of peppermint tea is being investigated as a possible cause of heartburn and GERD (gastroesophageal reflux disease). What happens if you drink peppermint tea everyday? Eliquis isnt recommended during lactation. Does peppermint tea affect blood pressure? Answer. When using a liquid extract, it is suggested to use 1-4ml three times per day. Similarly, many supplements, including turmeric, garlic, ginger and green tea, have antiplatelet effects, which can act synergistically with the effect of Eliquis on clotting factors to increase bleeding risk. In addition, patients with AFib are often told to avoid caffeine altogether. That's important to know considering Americans on average drink three cups of coffee daily , most of it in the morning, says the National Coffee Association. If this happens when your doctor is not available, skip the missed dose and start again the next day. A chemical analysis of caffeine content in teas steeped for five minutes found Exotica China White tea has 34 milligrams , Stash Premium Green tea has 39 mg, and Stash Earl Grey Black tea has 51 mg of caffeine in an 8 ounce cup. Green tea should be avoided by people on blood thinning medications, including warfarin. She has worked in some of the worlds most prestigious kitchens, and has published several cookbooks that have become bestsellers. Notify me via e-mail if anyone answers my comment. J Am Heart Assoc. The term doctor is used in this booklet to refer to the person who helps you manage your blood thinner medicine. Both substances are thought to reduce the risk of blood clotting. Highlights Beta-blockers, Propranolol, and Metoprolol Caffeine may increase blood pressure in people taking propranolol and metoprolol . after the FDA approved the drug. Using the two together may increase your risk of bleeding. Conclusion. One of the main benefits of green tea is that it is rich in antioxidants, which can help to protect the body against cell damage and disease. Anticoagulation patients may be safe to take green tea because it contains compounds that inhibit the oxidation of fatty acids and lower levels of fibrinogen. No. Eliquis (apixaban) works by selectively inhibiting (blocking) the effects of factor Xa (FXa), an enzyme that plays a key role in the formation of substances that cause blood clotting. Foods to Limit while Taking Blood Thinners.Answer: Yes, the effectiveness of apixaban (Eliquis), rivaroxaban (Xarelto), betrixaban (Bevyxxa), and other anticoagulant drugs (blood-thinners) classified as "direct factor Xa inhibitors" may be impacted by taking certain supplements.St. A review of ten scientific studies was done to determine gingers potential role in blood clotting (1). Why it is helpful? Though ginseng has not been formally evaluated by the Food and Drug Administration, drinking it may potentially give a boost to your heart. It is hard to estimate the magnitude of this risk. Unlike the older blood thinner coumadin/warfarin, monitoring the PT/INR (prothrombin time/international normalized ratio) is not required while taking Eliquis. A pulmonary embolism is when a blood clot blocks the arteries carrying blood to your lungs. Drinking peppermint tea every day can help you fight the symptoms of some respiratory sicknesses. The dosage is 5 MG twice a day. Fortunately, Eliquis has not been shown to have a bad interaction with any foods. If you drink tea, black tea (such as orange pekoe tea) is acceptable because it is not high in Vitamin K. Avoid peppermint tea if you suffer from GERD. While the purported benefits of chamomile tea are plenty, it can interact with medications or cause allergic reactions. You may also want to avoid peppermint tea if you are pregnant. Most people who use blood thinners should drink moderately on occasion, but not every day. For your heart health, it pays to go green. Eliquis and Pradaxa are both taken twice a day. 2023 SingleCare Administrators. Which is better green tea or peppermint tea? The two main things to look out for in terms of this are red blood either in or on the stool, and black stool. Eur.J.Cancer Prev. There arent any specific foods to avoid while on Eliquis but caffeine and high-fat foods are some foods to avoid with cardiovascular conditions, They can detox your liver, improve your skin tone, and more, Some vitamins and minerals have antihypertensive effects, but its more complicated than that, Find out if caffeine interacts with these prescriptions for hypertension and heart problems, An aging heart, heart disease, and heart infection are a few causes of low heart rate. When combined with blood thinning medications like apixaban, such as ginger, ginkgo biloba, turmeric, and some Chinese herbs, they can increase the risk of bleeding. The active ingredient in turmeric is curcumin that has anti-inflammatory and blood-thinning or anticoagulant properties. The usual culprits when it comes to food-drug interactions, such as leafy green vegetables, grapefruit juice, cranberry juice, coffee, and peppermint tea, are safe to enjoy while taking Eliquis. Our website is dedicated to providing accurate and up-to-date information about different types of tea. Eliquis works by blocking a specific clotting factor called factor Xa. 4. If you have chronic health issues, you should keep an eye on your vitamin K intake, which is found in high amounts in kale, spinach, collard greens, and other foods. Each has its dosing recommendations. Nutrition has played a big role in my life, and I enjoy sharing that knowledge and experience with others. If you experience nausea from taking Eliquis, try to take it with a meal. Marx W, McKavanagh D, McCarthy AL, Bird R, Ried K, Chan A, Isenring L. The Effect of Ginger (Zingiber officinale) on Platelet Aggregation: A Systematic Literature Review. Green tea has seen an increase in popularity in recent years as an alternative to regular coffee for health reasons. I also agree Green tea contains a lot of vitamin K, so its a good idea to drink it on a regular basis to get the most out of it. Unlike prescription drugs, the FDA does not regulate herbs and supplements. In September 2014, they approved it to help treat deep vein thrombosis (DVT) and pulmonary embolism (PE), which occur from blood clots. In particular, you should avoid taking Eliquis with aspirin or other blood thinners, as this may increase your risk of bleeding. It is best to avoid alcohol while taking Eliquis. Meanwhile, you should not mix green tea and aspirin because they both prevent platelets from clotting. When mixed with aspirin, you should avoid using it because it reduces blood clotting. Your doctor has prescribed a medicine called a blood thinner to prevent blood clots. As such, a diet rich in fruits, vegetables, and nuts is preferred over red meat, fast foods, and refined sugars. Biochem Pharmacol. Lithium Green tea has been shown to reduce blood levels of lithium . Should I avoid certain foods while taking Eliquis? It should be noted that Eliquis has had no negative interaction with any food. Some signs of a pulmonary embolism include sudden onset shortness of breath, chest pain that worsens while breathing, anxiety, dizziness, irregular heartbeat, coughing (sometimes coughing up blood), and sweating. A healthy diet while taking Eliquis should include: Fruits and vegetables provide dietary fiber and important vitamins and minerals like folate, vitamin C, and potassium. Diana graduated with honors from the University of Idaho with a Bachelors Degree of Science in Nutrition and Dietetics. A: I wish I could give you an easy answer, but I cant give you a way of reliably getting information about drug-drug, drug-food and drug-supplement interactions that is both accurate and easily understandable. However, since eliquis is a blood thinner, there is a small chance that eating broccoli could increase the risk of bleeding. Can I drink herbal teas while taking Eliquis? If you experience these, see your healthcare provider right away. A change in your diet, medicine, or dosage may be necessary. Home General Health Post What Foods To Eat And Avoid While Taking Eliquis (Apixaban). Atrial fibrillation causes blood to collect in chambers of your heart due to the irregular beats, which increases the risk of blood clots. heavy menstrual bleeding; headache, dizziness, weakness, feeling like you might pass out; urine that looks red, pink, or brown; or. And drinking green tea is also associated with a lower risk of heart disease and death from heart attack or stroke, according to a study of more than 90,000 Japanese participants published in the March 2015 Annals of Epidemiology. A diet high in saturated fats, red meat, and fast foods tend to promote fatty plaques in your blood vessels, which can increase the, Herbs and supplements to avoid with Eliquis.
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