When I am having a TIA ischemic Stroke or Heart Attack caused by clots/blockage (not bleeding/hemorrhagic/burst blood vessel), I take:

Aspirin (5 grain) – chew 1

Bromelain 500mg [Country Life Bromelain Triple Strength] – 2

Ginkgo Biloba 60mg 24% - 2 [Swanson SW893, qty240, 60mg, 24% glycosides and 6% terpene lactones, $6.99];

Ginger Root 550mg – 2

Cayenne 515mg 40,000 Heat Units – 1 to 2

Alpha Lipoic Acid 100mg – 2

Magnesium Citrate 500mg – 1

Nattokinase 65mg – 2

Rutin 250mg - 2
Sea Buckthorn Oil 450mg - 1
Ecklonia Cava Extract Capsules 300mg - 2
Serrapeptidase enzymes 120,000 SPU (Doctor's Best) – 3
Pancreatin - 6
Papaya - 3


For prevention, each day I take:

  • Bromelain 500mg [Country Life Bromelain Triple Strength] – 2
  • DHA Calamari oil (molecularly-distilled) – www.SwansonVitamins.com [SWE062, Swanson EFAs Super DHA 500 from Calamari, $6.99 - 10%, 30 Sgels; Calamarine® EE Marine Oil 1.22grams; Total Omega-3 Fatty Acids (as ethyl esters) 675mg; DHA (docosahexaenoic acid) 500mg; EPA (eicosapentaenoic acid) 125mg; Other Omega-3 Fatty Acids 50mg; Other ingredients: Gelatin, glycerin, purified (deionized) water, natural lemon flavor, proprietary antioxidant blend [natural tocopherols (from soy), rosemary extract, ascorbyl palmitate];
  • GLA (Borage/Evening Primrose Oil) – 2 capsules AM, 3pm
  • Now brand Pancreatin enzymes – 4 with meals, 6 between meals, 6 before bed
  • Now Brand Papaya & Bromelain enzymes – 3 with meals, 3 between meals, 3 before bed
  • Serrapeptidase enzymes 120,000 SPU (Doctor's Best) – 3 between meals, or it's even better if you have an empty stomach to take them before bed
  • Actizyme enzymes – 2 with each meal
  • I use cayenne, red pepper, fresh Jalapeno peppers liberally on my food
  • Ginkgo Biloba 60mg 24% – 1am, 1 pm
  • Ginger Root 550mg – 1am, 2pm
  • Alpha Lipoic Acid 100mg – 1am, 1Lunch, 1pm
  • Magnesium Citrate  (Now powder) - 325mg AM, 324mg PM 
  • Nattokinase 65mg – 3am, 3pm (6/d)(increased from 4 to 6/d); you may have to ramp up to this amount. These are not supposed to "thin the blood", but if you are on blood thinners, you may have to ask your doctor to adjust the prescription thinners if the garlic, ginkgo, fish oil, etc. thin your blood also, because you don't want to have a bleeding stroke.
  • Ecklonia Cava Extract Capsules 300mg (2/d) [http://www.eckloniacava.com/store.html]; see http://amshay.com/ExEcklonia.htm re "Seanol" and "FibroBoost"
By the way, these supplements are for clot-based strokes, not bleeding-based strokes, because they will make bleeding-based ones worse.

In addition to the above list, I've recently added:
Guggul: www.iherb.com [SNS-01840, $12.15*.90=$10.94, qty120, 37.5mg gugulsterones (375mg 10%); www,Swansonvitamins.com [SN738, qty 120, $11.48]; (***Note: Need to take 3/d of these for clot-based stroke prevention -- 1,1,1)

Vinpocetine (www.swansonvitamins.com) 2/d (split dosage: 1 AM + 1 PM) Swanson [SWH090, Vinpocetine, 10mg, qty90, $4.99]; [SWH172, 30mg, qty60, $9.89];

Policosanol (from Swanson, also); 2/d

R-Lipoic Acid (costs more than Alpha-Lipoic which I was taking before, but R-Lipoic is better)

Rutin 250mg (take with enzymes between meals, and with vitamin C); 2/d
(split dosage: 1 AM + 1 PM, and 2 if having a clot-based stroke) http://www.naturalhealth365.com/cardiovascular-health-lower-blood-pressure-naturally-1455.html [The rutin in buckwheat offers protection from blood clots, thereby reducing the risk of heart attack and strokes. (Rutin also lowers cholesterol, reduces blood pressure, fights cancer.) Harvard researchers found rutin to be the most potent anti-clotting compound of the 4,900 compounds they tested. Rutin blocks a key enzyme in blood clot formation, and buckwheat is one of the richest food sources of the flavonoid rutin.]; Swanson Rutin, SW125, 250mg, qty250, $5.39

Sea Buckthorn Oil [Helps dissolve fibrin (clots) & scar tissue, prevent strokes]; [Bottle suggests Refrigeration]; http://www.swansonvitamins.com/swanson-efas-omega-7-oil-from-sea-buckthorn-oil-450-mg-30-liq-caps [SWE055, Swanson EFAs, Omega-7 Oil From Sea Buckthorn Oil, $6.89, 450mg 30 Liq Caps Non-GMO, Sea Buckthorn Oil (Hippophae rhamnoides) (fruit) (providing omega-6 linoleic acid, omega-9 oleic acid, omega-7 palmitoleic acid, palmitic acid, omega-3 alpha-linolenic acid, stearic acid) 450mg; Other ingredients: Gelatin, rice bran oil, vegetable wax, d-alpha tocopheryl acetate]; [email: Safer than aspirin against blood clots..., Fri, 21 Feb 2014; Daily Health eAlert ; http://pro.agorahealth.co.uk/OMS_2013/E963Q2B4/; If you're jetting off on holiday or business over the next few months, then it's important you know this... And if you're a type 2 diabetic, then it's absolutely critical you know this -- as it could be a lifesaver. Finnish researchers from the University of Turku have found that just by adding this 'rare' nutrient to your diet, you can massively reduce your risk of developing blood clots, known as deep vein thrombosis (DVT). Safer than aspirin Heals burns and wounds more effectively than antiseptic creams Protects against sun damage to skin Protects your liver and acts as a powerful anti-inflammatory against heart disease Heals and protects against stomach ulcers Lowers high blood pressure Balances cholesterol to healthy levels The researchers tested the effects of sea buckthorn oil on a group of male participants at risk of developing blood clots and found that the sea buckthorn oil significantly prevented platelet aggregation -- thereby reducing the risk of clotting. What's more, in the Finnish study, sea buckthorn was shown to be just as effective -- but much safer than -- aspirin for preventing and even dissolving blood clots. Anticoagulants such as warfarin, heparin and aspirin are often administered to high risk groups -- such as diabetics, frequent jet travellers, smokers or obese people, who take little exercise. But these drugs come with a huge range of nasty side effects, like gastro-intestinal bleeding, and liver and kidney damage. Discover sea buckthorn's safer clot-busting properties here: http://pro.agorahealth.co.uk/OMS_2013/E963Q2B4/];

Horse Chestnut extract [p57 Blaylock: Strengthens blood vessels making it harder for cancer to spread, thins blood, decreases strokes. 300mg 2-3 times/day]; Swanson: helps maintain blood vessel integrity to promote healthy circulation throughout the body; [also, Butcher's Broom extract promotes healthy circulation to the legs and extremities, and is used to prevent clots/strokes in bedridden patients]; Swanson [SWH210, Swanson Superior Herbs Horse Chestnut 22% Aescin (Standardized), $5.99, 250mg, qty120Caps]; 2/d

Swanson Butcher's Broom (Standardized); A traditional favorite throughout Europe for promoting healthy circulation to the legs and extremities, butcher's broom contains a unique compound known as ruscogenin, which works naturally to support blood vessel tone. Swanson [SWH012, Butcher's Broom (Standardized), 150mg, 120 Caps, $5.09; Butcher's Broom Root 350mg + Butcher's Broom Extract (standardized to 10% ruscogenin) 150mg; A traditional favorite throughout Europe for promoting healthy circulation to the legs and extremities, butcher's broom contains a unique compound known as ruscogenin, which works naturally to support blood vessel tone. Each capsule contains 150 mg of guaranteed-potency extract (standardized to 10% ruscogenin) fortified with 350 mg of whole herb]; 1/d

American Ginseng (for bronchitis, asthma, blood sugar control); http://www.umm.edu/altmed/articles/american-ginseng-000248.htm [Studies suggest that regular intake of ginseng may reduce one's chances of getting various types of cancer, especially lung, liver, stomach, pancreatic and ovarian]; "7 Best Anti-aging Herbs - Ginseng (ED).htm", Dr. Wms: 50-150mg/d; Healthy Blood Flow: Ginseng reduces the stickiness of blood platelets, which allows for increased blood flow and lowers the chances of blood clots, strokes];

http://www.iherb.com/Paradise-Herbs-Panax-Red-Ginseng-60-Veggie-Caps/4242 [Panax Red Ginseng, Paradise Herbs, qty60caps, 200mg, PAR-77712, $13.68 ($66/lb), 100% Naturally Extracted 8:1 Standardized Full Spectrum 20% Ginsenosides (40mg) Paradise Herbs Panax Ginseng is naturally extracted using only the finest quality 5-7 year old Red Ginseng roots. Our Ginseng is naturally cultivated from the Chang Bai Shan Mountains near the Korean border, a region known for growing the best Panax Ginseng in the world. Our Standardized True Spectrum extract provides active levels of ginsenosides concentrated in the balanced ratio nature intended, without isolating, fractionizing or using toxic solvents, harsh chemicals or gases.]; Swanson [PRH017, $15.00];

Siberian Ginseng http://www.iherb.com/Paradise-Herbs-Siberian-Eleuthero-Root-120-Veggie-Caps/15108 [PAR-77781, Paradise Herbs Siberian Ginseng, Eleuthero Root, 120 Veggie Caps, $15.95*.92];

Full Spectrum Vitamin Ehttp://www.amazon.com/Life-Extension-Tocopherol-Tocotrienols-Softgels/dp/B000VHV3BM/ [Life Extension Gamma E Tocopherol/ Tocotrienols Softgels, 60-Count by Life Extension, $26.21 ($0.44 / Count) & FREE Shipping on orders over $35]; iherb [LEX-55906, Life Extension Gamma E Tocopherol/Tocotrienols, 60 Softgels, $31.50 [1/d;]

See my Latest page (http://www.distance-healer.com/Latest.html) if you want information about liposomal vitamin C.

Reishi / Ling Zhi; iherb [PAR-77743, Paradise Herbs, Reishi, Supreme Red Ling Zhi (LingZhi), 60 Veggie Caps, $16.49]; [lingzhi, goji berry, wild ginseng, he shou wu and gotu kola: http://www.healthfreedoms.org/the-oldest-man-in-the-world-256-reveals-his-secrets-before-his-death/]; [Tumeric, Ginseng, Bilberry, Ginkgo, Gotu Kola: http://www.healthfreedoms.org/add-these-5-herbs-to-your-anti-aging-diet/]; [Lingzhi can inhibit platelet aggregation, which impairs clotting. This can lead to unusual or excessive bleeding because of its blood-thinning properties. (Helps prevent clot-based strokes.) http://www.livestrong.com/article/450093-lingzhi-side-effects/]; [http://www.livestrong.com/article/308588-lingzhi-mushroom-benefits/];

Paradise Herbs Fo Ti; iherb [PAR-77731, Paradise Herbs Fo Ti, 60 Veggie Caps, $15.00, 500mg Polygonum multiflorum extract 10:1 Prepared Fo Ti (Equivalent to 5000 mg whole root); 100% Pure, Traditionally Prepared, Non GMO, Paradise Fo Ti is a True Full Spectrum 10:1 potent concentration. It is naturally extracted without the use of toxic solvents, harsh chemicals or fractionizing gases to ensure all the active and synergistic constituents are present in the balanced ratio nature intended. Fo Ti, also known as He Shou Wu, is one of the most powerful anti-aging herbs in the world. Fo Ti is known to enter the kidney and liver meridian systems. It helps nourish the blood and yin and secures the essence. Fo Ti is famous for promoting healthy hair, skin and sexual vitality]; [lingzhi, goji berry, wild ginseng, he shou wu and gotu kola: http://www.healthfreedoms.org/the-oldest-man-in-the-world-256-reveals-his-secrets-before-his-death/]; [Tumeric, Ginseng, Bilberry, Ginkgo, Gotu Kola: http://www.healthfreedoms.org/add-these-5-herbs-to-your-anti-aging-diet/];

Goji Berry; iherb [PAR-77730, Paradise Herbs, Go Ji, Ning Xia (Goji Berry), 60 Veggie Caps, $13.74]; [lingzhi, goji berry, wild ginseng, he shou wu and gotu kola: http://www.healthfreedoms.org/the-oldest-man-in-the-world-256-reveals-his-secrets-before-his-death/]; [Turmeric / Curcumin (Jarrow brand) - mix in oil, Ginseng, Bilberry, Ginkgo, Gotu Kola: http://www.healthfreedoms.org/add-these-5-herbs-to-your-anti-aging-diet/];
Bilberry Extract with Grape Skin Extract; http://www.vitacost.com/NSI-European-Bilberry-Extract-with-Grape-Skin-Extract [NSI 3003464, European Bilberry Extract with Grape Skin Extract, 120 Capsules, $19.99, Bilberry Extract (standardized to 25% anthocyanidins) 80mg, Bilberry Extract (4:1) 120mg, Grape Skin Extract (standardized to 30% polyphenols) 225mg]

Instead of taking flaxseed oil, I would eat freshly-ground organic flaxseed (it oxidizes as soon as you grind it, so it needs to be freshly-ground each day before you take it. I add pure unchlorinated/unflouridated water to it, and mix the water it into it to help it not to oxidize, and eat it soon thereafter.) I use a small Proctor-Silex coffee grinder that I found on the internet (clean out the particles each day into your bowl, so that they do not oxidize and contaminate future flaxseed grindings.) Many people lack the enzymes to convert the ALA in flaxseed oil to EPA/DHA (fish oil omega-3 oils), and in those people taking liquid flax oil and worsen prostate and other cancers. I have more info about this on my Prostate and also general Cancer protocol pages, along with links to Jon Barron's articles about this.

In addition to the flaxseed, I also take 1 TBS/day of https://www.swansonvitamins.com/natures-answer-omega-3-epa-dha-16-fl-oz-liquid [NAT069, $13.99, Nature's Answer Omega 3 EPA/DHA, along with 1 Astaxanthin (http://www.vitacost.com/vitacost-natural-astaxanthin-5-mg-60-softgels-1 [VCT 7017362, Vitacost Natural Astaxanthin -- 5mg, 60 Softgels, $12.39];) Krill oil has astaxanthin in it that prevents it from oxidizing as soon as it hits your stomach, but it is too expensive. Fish oil, if taken with astaxanthin and full spectrum vitamin E antioxidants, also helps with clotting / strokes. I was taking Calamari oil, but switched to the liquid fish oil because the Calamari was too expensive. Once opened, I add some powdered organic rosemary, lemon juice and squeeze a capsule of full spectrum vitamin E into each bottle of my oils (including CP EV olive oil) and keep them in the refrigerator.

LuckyVitamin [68699, Solaray - GarliCare One Daily 12000 mcg. - 60 Tablets, $6.83; Ingredients: Total Sulfur (2600 mcg), Thiosulfinates (4200 mcg), Gamma-Glutamylcysteine (4500 mcg), Allicin Yield (ARP) (4000 mcg), Alliin (8000 mcg), GP Garlic (Allium sativum) (bulb) (400 mg); Other Ingredients: Cellulose, silica and magnesium stearate; The Solaray brand employs quality control standards in all areas of product development - from ensuring identification and authenticity by laboratory analysis to screening for microbes, herbicides and pesticides to heavy metal testing. Solaray rejects herbs they suspect are irradiated]; (I take 2/d; 1 AM + 1 PM)

Swanson KY048, Kyolic #100 Yeast-Free [aged] Garlic, qty300, 300mg, $16.99; (I take 2/d; 1 AM + 1 PM) [Each has it's own benefits: aged Kyolic vs fresh garlic such as the GarliCare]

If you use fresh garlic, it needs to be freshly-crushed and not heated to too high a temperature or cooked too long or it will be ruined for health benefits. I don't take garlic oil, but have a lot of fresh garlic in my raw, organic blenderized vegetables each day, along with the Kyolic and GarliCare. Garlic and MSM are good forms of sulfur.

Ginger Root (Nature's Way 550mg180caps 1.5%) used for centuries to treat circulatory conditions. Acts with MSM to reduce platelet clumping.

I get my MSM from here. They have a much more expensive product (OptiMSM), but I get the less expensive one from China.
(800) 453-7516 ext. 2] http://www.msm-msm.com/store/agora.cgi?product=MSM&next=14&cart_id=90219395.30239 [5-Pound Bag of Bulk Imported MSM 99.9% Pure; This product is MSM imported from China and is certified to be 99.9% pure or better. $30/5lbs. It is purified using the double-crystallization method rather than the distillation method used by our US-made OptiMSM. Distillation is considered to be a superior method, thus why OptiMSM is priced significantly higher. Although this product does come from China, we don't have any reservations recommending it for those on a budget. And just as in our brand-name products, there are no fillers or additives in this product. It is about the consistency of sugar.]; http://www.msm-msm.com/why-we-do-this/, http://www.msm-msm.com/


Stroke Recovery Protocol (a lot of this also applies to heart disease), Vaccinations, PQQ, Nagalase, etc.:
You CAN recover from a stroke AND prevent additional strokes
Supplementation with PQQ reduces the size of ischemia-reperfusion damaged areas in animal models of acute myocardial infarction (heart attack).59 This occurs whether the supplement is given before or after the ischemic event itself."   Grow New MitochondiaSupplementation with PQQ reduces the size of ischemia-reperfusion damaged areas in animal models of acute myocardial infarction (heart attack).59 This occurs whether the supplement is given before or after the ischemic event itself."   

Grow New Mitochondia [with PQQ]
The tragedy is that many strokes can be reversed if competent arterial intervention is timely delivered.

Stroke Recovery Protocol (cont.)

Reversing Acute Ischemic Stroke

Vitamin C Protocol
Vitamin C Complex Components Protocol
“If any of these parts are missing, there is no vitamin C, no vitamin activity.

Vitamin D Protocol

Cardiovascular Disease Protection and Treatment Protocol
The fat Cycle   How all the body fats circulate in your body. Fats are very important to CVD.
Painkillers commonly prescribed for arthritis are more dangerous than previously believed, especially for heart patients
Oxidized LDL Cholesterol and low HDL is the Best Predictor of Heart Disease [also, a really good predictor is coronary calcium in heart valves and blood vessels; take D3, K2, Mg, no supplemental calcium, in order to put calcium in bones/teeth instead of soft tissues/arteries/heart valves, etc. See elsewhere on this page for how much I would take.]
You must Get Your HDL Levels UP to Avoid CVD Risk
 The fat soluble antioxidants, vitamins D, E and K, vitamin C and other antioxidants will insure the LDL packet lipoprotein membrane itself does not oxidize. It is the oxidization of the LDL membrane that often begins the atherosclerotic process [i.e., Oxidized Cholesterol is bad; cholesterol is not]. If we prevent this from happening we may prevent MUCH of CVD as well as atherosclerosis.
You must Get Your HDL Levels UP to Avoid CVD Risk
Triglyceride Protocol
LDL Protocol
HDL Cholesterol Protocol

A Great Discussion of NAGALASE, GcMAF, CVD and Connected Issues [syn: vaccines; vaccinations; ]
Doctors are Being Killed for Saving Your Children ~ Most Urgent!!!
For More Details on NAGALASE and GcMAF go to the NAGALAES Protocol
 "Three years ago, several mishaps occurred with vials of viruses that could have been potential bioweapons in the wrong hands. A moratorium on deadly virus creation was installed, but the ban was just reversed on Tuesday allowing scientists to begin manipulating benign pathogens into deadly, epidemic-worthy human disease. Not only do the scientists want permission to create with abandon, they’d like to keep the results secret – i.e., keep them unpublished so that the work doesn’t get into “the wrong hands” and cause an act of Bioterror … Now that the government has lifted the ban, scientists essentially have carte blanche to breed laboratory horrors."  
Scientists Get Approval to Create Air Transmissible Ebola and Other Lethal Viruses
If ever there was any doubt about how this DEADLY GAME is being played this should REMOVE IT!

Related: Cholesterol page (heart disease, strokes, etc.)

Here are some really good vitamins that are made from raw, organic food and herbs -- not chemicals from a laboratory:



This is a good bone renewal minerals product and contains calcium from good sources, magnesium and co-factors that keep the calcium out of the arteries and soft tissues and put it instead into the teeth and bones. It's actually cheaper directly from Synergy than from iHerb (plus there is a 10% discount program):

(Actually, all of their products are pretty good.)

http://www.vitacost.com/Flora-Flor-Essence-Gentle-Detox-For-The-Whole-Body [FLO 8680704, Essiac tea (Rene Caisse's later 8 herb formula -- powdered 8 herb formula used late in Rene's life -- better), go to www.vitacost.com and search for "Flor Essence" (without quotes; iherb costs a lot more). Mfr's info: http://www.florahealth.com/Flora/Home/canada/Products/R8070.asp) Flora Flor Essence Gentle Detox For The Whole Body -- 17 fl oz, $19.29, 8 herb formula Dr. Brusch & Rene developed later, after refining it so that it could be used orally, rather than injected. Flora is the company Dr. Brusch sold the formula to. Vitacost sells it at a discount. Warnings: This product contains Turkish rhubarb root. Read and follow directions carefully. Do not use if you have or develop diarrhea, loose stools, or abdominal pain because rhubarb may worsen these conditions and be harmful to your health. Consult your physician if you have frequent diarrhea or if you are pregnant, nursing, taking medications, or have a medical condition. If you're pressed for time, like I am, you might prefer the liquid extract. For Adults: Shake the bottle well before use. Measure 2 oz of tea and dilute with an equal or double amount of purified water. Take two servings daily: one before breakfast and one before bedtime. Sip slowly. After opening Keep Refrigerated and use within 3 weeks.]

I have a lot more about Essiac and other sources on my main cancer page (search for "Essiac" without the quotes):

I have what I take for strokes and stroke prevention on this page (http://distance-healer.com/73.html).

For Heart Attacks, take L-Carnitine within 24 hours to reduce damage (p34 Speed Healing Ad Booklet by Dr. Mark Stengler); Magnesium (via IV best – Dr. Whitaker); Alpha Lipoic Acid; CoQ10; Clot supplements and enzymes above.


Stroke risk factors: high blood pressure, heart disease, high cholesterol (over 240), obesity, diabetes, atrial fibrillation, smoking, excessive alcohol use, sleep apnea, bad diet.

Prevention: increase consumption of potassium-rich fruits and vegetables and eat more low-mercury and low-PCB (wild-caught from clean waters) fish, avoid red and processed meats, refined grains, sweets and desserts, and limit whole grains. High intakes of vegetables, legumes, fish and moderate intakes of fruits and whole grains are best. High dosages of vitamin C (as magnesium ascorbate), magnesium (citrate is a good form), reasonable doses of fish oil (molecularly-distilled to remove cancer-causing PCB’s and mercury) [DHA oil from Calamari is better], folic acid and vitamins B6 and B12 (sublingual B12 best, because we lose the ability to absorb this from our digestive tract as we become middle-aged, or if we take antacids). Also, take Nattokinase daily – it removes excess fibrin from the blood, lowering inflammation and improving circulation as well as reducing risk of harmful blood clots, according to Dr. Julian Whitaker’s Mar2005 Health & Healing newsletter ( 800-539-8219 www.drwhitaker.com).


Although some neuronal death is irreversible if you’ve already had a stroke, HBOT (Hyperbaric Oxygen Therapy) can “wake up” other cells in the immediate area (called “ischemic penumbra) by jolting them with massive amounts of pure oxygen in a pressurized chamber. HBOT also stimulates angiogenesis, or growth of new blood vessels. A treatment course of 30 or more sessions results in remarkable improvements in blood flow in the brain that can be seen on SPECT scans. For more information on HBOT, visit hbomedtoday.com. To schedule an appointment at the Whitaker Wellness Institute, call 800-488-1500 (http://whitakerwellness.com).

A Full Clot-Prevention Program
Courtesy of Dr. Wright's September 2010 Nutrition & Healing newsletter (subscriptions are available at: http://wrightnewsletter.com)

Dear Dr. Wright,
My wife recently underwent surgery to repair her mitral valve. The valve was not repairable and it was replaced with a mechanical valve. That was two weeks ago yesterday. The hospital put her on Coumadin to reduce blood clotting. We are still trying to get her Coumadin level right as indicated by INR tests. Coumadin inhibits vitamin action, but with long-term side effects. I am encouraged by Dr.Wright’s suggested alternative of using cod liver oil. I hope my wife can gradually move off of Coumadin and on to cod liver oil.

Can this be done safely with INR tests as a measure? Can we look forward to a day when she is only using cod liver oil, and INR tests indicate that her clotting times are within an acceptable range?
—M.W.G.,Huntsville, Alabama

Dr.Wright: While it is very possible to both prevent and guard against blood clots without the use of Coumadin® or other patent medications, please make sure to be working with a physician skilled and knowledgeable in natural and nutritional medicine if you decide to do so!

Did you know that it’s possible to take so much fish oil that if you cut yourself you won’t stop bleeding? That should be a clue to the fact that fish oil can be an effective anti-coagulant, but even if you’re bleeding nearly to death it won’t be reflected by the INR test, which tests only for the very specific effect of Coumadin® on the “clotting cascade.”

If your doctor feels better if he or she can use a specific test, have him(or her) look for a local laboratory which uses a platelet aggregometer, lab equipment which measures how long it takes platelets to start forming clumps, an aspect of the clotting process not affected by Coumadin®, but definitely affected by larger quantities of fish oil. An “extra long” platelet aggregation time indicates inhibition of blood clotting.

For adults, 1½tablespoons of fish oil twice daily is almost always enough to lengthen platelet aggregation time and partially—although not completely— inhibit blood clotting. (If you try it yourself and then cut yourself even slightly after a few days, you’ll find it takes significantly longer than usual for the bleeding to stop.)However, never take extra fish oil without additional vitamin E in the form of “mixed tocopherols.”

Vitamin E prevents extra fish oil (or any other polyunsaturated oil) from causing lipid peroxidation, oxidative damage to cell membranes. Your best bet is 600 IU of mixed tocopherols twice daily (or three of the 400 IU capsules) with this amount of fish oil.

Yes, this is a lot of fish oil, and can cause burping or belching or, in a few cases, loose bowels. This can almost always be stopped by taking a high lipase digestive enzyme (ask your natural food store, compounding pharmacy, or the Tahoma Dispensary) with the fish oil each time.

More importantly, in the long run, all this omega-3 fatty acid consumption from fish oil, while helpful in protecting against clots, can also cause an imbalance with important omega-6 fatty acids.

This is one of many reasons why it’s important to work with a physician skilled and knowledgeable in natural and nutritional medicine who can help you measure your balance of fatty acids. And yes, to achieve the anti-coagulant effect, your fatty acid test will always show your omega-3 fatty acids higher than the “population normals” which are used as indication of normal ranges. Remember, those “population normals” are for people who are almost never taking that much fish oil as an anti-coagulant tool! To stay in balance at the high levels resulting from taking considerable extra fish oil, it’ll likely be necessary to also take extra omega-6 fatty acids such as GLA (gamma-linolenic acid).

Need extra insurance against too-sticky blood?

For extra anti-clot insurance, I usually recommend adding nattokinase, at least 100millligrams every eight hours, for example at bedtime, on waking (if you sleep approximately eight hours), and once half-way between getting up and going to bed. To be extra careful, four times daily might be even better. Timing is important as nattokinase should be in the bloodstream “round the- clock” to maintain its ability to “eat” early clots whenever they may occur.

Nattokinase is an enzyme originating in microorganisms which have been used in Japan for thousands of years to make a soy cheese, natto. Researchers have determined that nattokinase is absorbed undigested into our bloodstreams, where it literally does nothing at all unless fibrin (the micro-filament protein basis for clots) starts to form anywhere in all the tens of thousands of miles of blood vessels in our bodies.

When fibrin starts to form, nattokinase goes into instant action and digests away the fibrin—and a clot can’t form once its fibrin basis has disappeared. (Although not as relevant here, nattokinase can also dissolve pre-existing clots over a period of days to weeks, depending on how large or extensive the preexisting clot may be.)

Some physicians prefer another absorbable “clot-busting” enzyme derived from earthworms, called lumbrokinase. As “icky” as it sounds, it has no remaining earthworm parts, and is at least as effective as nattokinase. Even though nattokinase and lumbrokinase are available at natural food stores, compounding pharmacies, and the Tahoma Clinic Dispensary, please make sure to work with a physician skilled and knowledgeable in natural and nutritional medicine if your goal is to prevent abnormal blood clotting. JVW


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