Are The Risks Worth The Reward? The Little Discussed Details About Blood Thinners


Let me start this article by saying: DO NOT STOP ANY MEDICATION without speaking with your physician first.

It makes all of us here at Natural Heart Doctor so happy when patients can choose alternatives to heavy duty drugs, or better yet, no longer need drugs at all.

In this article we will dive into some of the most powerful medications on the market and why getting off of them is important.

Xarelto, Eliquis, and Pradaxa

These three drugs are heavy-duty blood thinners that are involved in various parts of blood clotting. In many situations, they are better than coumadin (Warfarin), given that monitoring levels is unnecessary and they don’t interact with food.

But here is the concern: they can cause life-threatening bleeding, like hemorrhaging in the brain. It’s not a good trade-off, sure we may prevent a stroke by avoiding blood clots, however, having the pendulum swing too far in the other direction and not being able to stop bleeding is a concern.

Why are you on Xarelto?

Here are several reasons doctors put patients on these types of medications:

  • Atrial Fibrillation (AFIB)
    • AFIB is the most common indicator for Xarelto. Here is a video explaining AFIB and stroke risk.
    • Stroke risk goes up as the CHADSVASC score increases.
    • Learn your score and then decide if you want to stay on the drug. After all, it is YOUR decision.
    • Here is a scenario to consider:
      • A person with AFIB, 64 years of age, female, with no other risk factors on CHADSVASC has a low stroke risk (1) and we would likely not put her on Xarelto. The risk of bleeding is higher than the benefit.
  • Deep venous thrombosis (DVT)/Pulmonary embolism (PE)
    • For a first event, DVT/PE, a patient typically needs 6 months of Xarelto. If the clot was small and/or happened after a surgical procedure, 3 months may be enough.
    • When DVT/PE occurs in the face of cancer or another hypercoagulable state, 12 months or longer may be needed.
  • Left ventricular thrombosis
    • Usually this happens after a large heart attack. These people can usually get off Xarelto after 3 months.
  • Postoperative DVT prevention
    • Follow the recommendations of the surgeon. Post-op DVT is common and easily preventable. Other modalities for prevention are possible and the doctor can prescribe other commonly used drugs. Stick with their plan.


In many situations, we can eliminate pharmaceuticals by changing the foods we eat, the water we drink, and certain aspects of our lifestyle. My website is a resource for those who want to get out of the “sickness cycle” and take control of their health.

There are ways to thin the blood naturally. Contact one of our health coaches today to discuss these options and get started on your journey toward recovery and prevention. The first consultation is FREE!


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