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1. Ask the doctor. I am 95 years old and recently began treatment for early macular degeneration in one eye. My retinologist said that PreserVision might help protect the other eye. But she cautioned that it contains a large dose of vitamin E, which could cause a bleeding problem with the Coumadin I take because of a mechanical aortic valve. What would you suggest?
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2. Ask the doctor. I am due to have a colonoscopy. My cardiologist told me that I will need to stop taking Coumadin, which I take for atrial fibrillation, a few days before the procedure and get some injections. Is this really necessary?
Goldhaber SZ
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3. Ask the doctor. Sometime soon I will need to have my aortic valve replaced. I like the fact that mechanical valves last longer than biological valves, but I don't like the fact that they require you to take the blood thinner Coumadin to prevent blood clots. I have heard that one of the new mechanical valves won't require Coumadin, just aspirin. Is that so?
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4. Ever since I began to take Coumadin for atrial fibrillation I have a fear of falling and bleeding. What can I do to improve my balance?
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5. Vitamin E and blood thinners. You advised readers not to take extra vitamin E if they were taking aspirin or Coumadin. Why?
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7. Ask the doctor. Because I take the blood thinner warfarin (Coumadin), my doctor said I shouldn't take aspirin. Aren't there any anti-inflammatory drugs I can take for my arthritis that won't increase my chances of a bleeding problem?
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8. Ask the doctor. I have been taking ginkgo pills for my memory for several years. I was just diagnosed with atrial fibrillation, and my doctor put me on Coumadin. Is it okay to keep taking ginkgo?
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9. Is early anticoagulation with warfarin necessary after bioprosthetic aortic valve replacement?
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