Dr. Steve Blake
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 Can cause excessive bleeding.
9. Tocotrienols:
(a) Are a form of vitamin E.
(b) Are potent antioxidants.
(c) Are absorbed through skin.
(d) All of the above.
10. Vitamin E is:
(a) Fat-soluble.
(b) Water-soluble.
(c) Mineral-soluble.
(d) Not soluble.
CHAPTER 6
Vitamin K
The Green Leafy Vitamin
Vitamin K is a fat-soluble vitamin needed for blood coagulation. Coagulation refers to the process of blood clotting. Vitamin K was discovered by a Danish scientist, Henrik Dam, in the late 1920s. He discovered a factor that was causing excessive bleeding and was missing from some diets. |
Tori Hudson, N.D.
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 Even when the cause of the excessive bleeding is not a clotting disorder, it may be prudent to use vitamin K as part of a comprehensive treatment plan. Fat-soluble chlorophyll is a good source of vitamin K and is found in fresh green juices. Consider increasing the intake of green leafy vegetables and/or supplementing with 150 to 500 meg per day of vitamin K.
Vitamin K
150-500 meg per day
Vitamin C. Vitamin C helps to reduce heavy bleeding by strengthening the capillaries. In at least one study, vitamin C was able to reduce heavy bleeding in 87 percent of the women. |
Brigitte Mars, A.H.G.
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 It can be used as a mouthwash to treat canker sores, thrush, and weak gums; as a hair rinse to treat dandruff; as a douche to treat vaginal infections and ulcerations; and as a sitz bath after childbirth to prevent excessive bleeding and promote tissue repair.
The leaves are not generally considered edible, aside from as tea. The berries can be eaten raw or cooked. They are bland, but they do help quench thirst and stimulate saliva flow and can be used as survival food. They are best, however, when mixed with other foods such as fruits or juices. |
Thomson Healthcare, Inc.
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 If garlic extract is taken with concomitant use of Coleus forskolii, monitor for signs and symptoms of excessive bleeding. Garlic supplements should be discontinued at least 10 days prior to elective surgery.
Low Molecular Weight Heparins: Concurrent use may result in increased risk of bleeding. Clinical Management: Concomitant use of garlic and low molecular weight heparins is not recommended. Regular ingestion of food products containing small amounts of garlic should not pose a problem. |
| Monitor for signs and symptoms of excessive bleeding.
Anticonvulsants: Theoretically, Evening Primrose oil may reduce the effectiveness of anticonvulsants by lowering the seizure threshold. Clinical Management: Avoid concomitant use of Evening Primrose oil with anticonvulsants.
Phenothiazines: Evening Primrose oil may reduce the seizure threshold when taken with phenothiazines. Clinical Management: Avoid concomitant use of Evening Primrose oil with phenothiazines. dosage
Mode of Administration: Evening Primrose oil is available in capsules for oral administration. |
Dr. Abram Hoffer, MD, FRCP (C) and Dr. Harold D. Foster, PhD
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 Aspirin used in low dose is widely touted as the one of the main answers to geriatric decline, but it has serious side-effects, such as excessive bleeding. It is estimated that 67 patients must take aspirin in order to protect one against a stroke or myocardial infarction, but from each 100, one will suffer serious bleeding. In comparison, niacin is safe. However, it is not easy to compare niacin and aspirin since no one has estimated the likely long-term effects of niacin in the same way that those of aspirin and the statins have been examined. |
Tori Hudson, N.D.
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| If you have symptoms, they can most often be managed with alternative therapies, although excessive bleeding may require drug or surgical intervention. Even if you have no symptoms, a licensed primary health-care practitioner should examine you every six months to rule out rapid enlargement. This is especially true for women who are planning pregnancies or approaching menopause. Rapidly enlarging fibroids warrant special attention because of the potential for malignancy. |
Andreas Moritz
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 Sleepwalking, excessive bleeding of wounds, greater potency of herbs collected during full moon night, an increase in the number of accidents and violent crime, and a higher birth rate, are all effects of increased lunar influence. Cutting trees during full moon can destroy them. Since the body has a tendency to hold back fluids during full moon, it is also best to avoid doing liver flushes or other cleanses at that time. Also avoid having operations, including dental work, on full moon, as you may suffer complications or infections. |
| Other methods are used to help lower a patient's temperature and blood pressure in order to conserve blood loss and limit excessive bleeding. Drugs are also available that increase red blood cell production. All of these methods have very few or no side effects. Whenever doctors have to conduct surgery on members of the Jehovah's Witnesses, they have no other choice but to use the blood-free procedures (with higher success rates than those obtained by ordinary transfusion). This success has motivated the doctors and some of their colleagues to adopt the procedures for all their patients. |
| The other 85 percent are due to uterine fibroids, endometriosis, or other causes of pelvic pain and excessive bleeding. Thousands of women every year have a full hysterectomy (including the removal of the ovaries), but have not given their consent prior to the surgery. Only a few of them make use of the law to seek compensation, but money cannot return a woman's uterus, which is symbolic of womanhood.
Even from a surgical perspective, a woman has less invasive and traumatic options. |
Dr. Steve Blake
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| He discovered a factor that was causing excessive bleeding and was missing from some diets. He published his work in a German journal and called the new coagulation vitamin Koagulationsvitamin. The initial letter in this word is how vitamin K got its name.
The Forms of Vitamin K
Plants synthesize phylloquinone, which is known as vitamin Ky Bacteria can also synthesize vitamin K in several forms. The vitamin K made by bacteria is known as menaquinone, or vitamin K2. There are many forms of menaquinone made by bacteria, each with different numbers of side chains. |
Tori Hudson, N.D.
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| In women who had frequent menses, the duration between periods was lengthened, and in women with excessive bleeding, a shortening of the number of heavy bleeding days occurred.
Chaste tree is the most important herb to normalize and regulate the menstrual cycle. It is not a fast-acting herb, so do not hesitate to use it over a long period of time. Results may not be achieved until after three to six months.
Chaste Tree
Standardized extract capsules (175 mg of 75% agnuside): 1 capsule per day Standardized liquid extract: 30-60 drops per day
Saint John's Wort (Hypericum Perforatum). |
| In 58 patients with excessive bleeding (menorrhagia), the number of heavy bleeding days was decreased.
As mentioned earlier, chaste tree has an ability to inhibit prolactin production. A double-blind, placebo-controlled study done in 2005 was able to examine the effect of a chaste tree preparation on 52 women with luteal phase defects due to elevated prolactin levels.14 The dose given was 20 mg chaste tree extract daily for three months. After three months of treatment, prolactin release was significantly reduced in those taking chaste tree. |
Brigitte Mars, A.H.G.
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| It can be taken by a pregnant woman ten days before she expects to deliver to prevent excessive bleeding during childbirth; it also can be used to stimulate labor that has been delayed or to prevent miscarriage. However, such use should be supervised by a qualified health-care professional.
Topically, lady's mantle can be made into a healing poultice for wounds. It also can be prepared as a bolus, douche, or sitz bath to treat vaginal infection or leukorrhea. |
Pam Montgomery
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 Rose's astringent qualities help dry up excessive bleeding, phlegm, and diarrhea. Rose also has a positive effect on the urinary system by relieving fluid retention and eliminating stones in the kidney and bladder. The hips from the wild or dog rose contain the highest amount of vitamin C found in any plant, making it useful as a preventive for any type of infection. As a beauty aid, rose tones and cleanses the skin while smoothing wrinkles and clearing blemishes and acne. |
| It serves as a digestive tonic as well as an astringent, which stems all manner of excessive bleeding and aids in the healing of wounds. It makes an excellent gargle for sore throat and inflamed gums. One of the reasons Agrimony is such a wonderful healing herb is its unique ability to relieve tension in all of its many guises whether it be in the gut, reproductive organs, during respiration, in a constricted liver or kidney, or the nervous system. A person who is uptight but hides behind a cheerful facade could benefit from Agrimony. |
Tori Hudson, N.D.
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| Also inform your practitioner if you are taking aspirin and must have a simple surgical procedure, even a dental extraction, as it increases the risk of excessive bleeding.
When treating hyperlipidemia, most conventional practitioners will follow the NCEP, ATP III guidelines. Step 1 involves identifying the lipid levels with blood testing; step 2 is to identify the presence of any atherosclerotic disease that confers a high risk for heart disease events. Step 3 is to determine the presence of major risk factors other than an LDL level above 160. |
Bottom Line Health
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| Some surgeons have patients stop taking aspirin before bypass surgery because of the fear of excessive bleeding. But the study found no increased incidence of re-operation because of internal bleeding, according to the lead author of the report, Dr. R. Scott Wright, a Mayo Clinic cardiologist.
The incidence of death and stroke was significantly lower in patients taking aspirin, Wright reports. "And in those who took aspirin, there was a reduced need for postoperative blood products. |
Tori Hudson, N.D.
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| Women rarely need to rush to any decision about surgical intervention, except in the case of excessive bleeding problems, a rapidly enlarging fibroid uterus, or prolonged or severe pain. If surgical intervention becomes appropriate, remember that you may have a number of surgical options and explore some of the newer techniques. If a hysterectomy is indeed the best option, and sometimes it is, then be sure to discuss with your surgeon whether you would like to keep your ovaries; most of the time, there is no pressing medical need to remove them. |
Thomson Healthcare, Inc.
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| Monitor for signs and symptoms of excessive bleeding.
Benzodiazepines: Concurrent use may result in excessive muscle relaxation and central nervous system depression. Clinical Management: Monitor patients taking Dong Quai and benzodiazepines concomitantly for excessive muscle relaxant and sedative effects of benzodiazepines.
Beta-adrenergic blockers: Concurrent use may result in low blood pressure. Clinical Management: Monitor blood pressure closely in patients taking beta-adrenergic blockers and dong quai concomitantly.
Nifedipine: Concurrent use may result in low blood pressure. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
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 Keep in mind that if you have nasal pain or excessive bleeding, you should call your doctor right away.
So, who knows the most about noses? If you have a nose-related problem and need to see a specialist, you may want to consult one of the following:
¦ Otolaryngologist (also known as otorhinolaryngologist): A medical doctor who specializes in evaluating and treating ear, nose, and throat problems.
¦ Rhinologist: A medical doctor who is board-certified in otolaryngology and undergoes additional training in treating nasal and sinus diseases. |
Thomson Healthcare, Inc.
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| Clinical Management: Monitor for signs and symptoms of excessive bleeding. dosage
ANGELICA ROOT
Mode of Administration: Comminuted herb and other oral galenic preparations for internal use.
How Supplied:
Fluid Extract -1:1
Oil
Tincture -1:5
Preparation: There is no information on preparation in the literature.
Daily Dosage: 4.5 gm of drug, 1.5 to 3.0 gm of liquid extract (1:1); 1.5 gm of tincture (1:5); 10 to 20 drops of essential oil. literature
ANGELICA FRUIT AND HERB
Heck, AM, DeWitt, BA, Lukes, AL. Potential interactions between alternative therapies and warfarin. |
| Clinical Management: Signs and symptoms of excessive bleeding should be monitored closely if capsaicin and any of these agents are taken concomitantly. It is advisable to discontinue appreciable intake of capsaicin (or large amounts of red pepper) prior to administration of anticoagulants, antiplatelet agents, low molecular weight heparins, or thrombolytic agents.
Barbiturates: Concurrent use may result in increased or decreased effect of the barbiturate, depending on the length of time capsaicin is administered. |
| Clinical Management: Monitor for signs and symptoms of excessive bleeding.
Antidiabetic Agents: Concurrent use may result in increased risk of hypoglycemia. Clinical Management: Monitor blood glucose levels for signs and symptoms of hypoglycemia. dosage
Mode of Administration: Whole and powdered drug is available in the form of teas and compound preparations.
How Supplied:
Capsules — 575 mg, 610 mg, 626 mg
Preparation: To prepare a tea, leave 0.5 gm drug to steep in cold water for 3 hours, then strain; the tea may be sweetened with honey. |
Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D.
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 There has been one case report of excessive bleeding occurring in a man who was taking PC-SPES. 110 However, the warfarin concentration in this patient's blood was not high enough to explain his abnormal bleeding. In addition, allegations have been made that PC-SPES contains small amounts of a synthetic estrogen (diethyl-stilbestrol; DES). That claim has been disputed by BotanicLab. |
| Vitamin C deficiency also can increase the risk of excessive bleeding in the surgical setting.58
Some studies of surgery patients,59'60 though not all,61 have found that blood levels of vitamin E (page 609) decrease during and after surgery. Animal research suggests that vitamin E may prevent skin scarring when used topically after surgery,62 but a human study reported disappointing results.63 Vitamin E taken by mouth may interfere with blood clotting64; therefore, use of vitamin E before surgery should be discussed with the surgeon. |
Joseph E. Mario
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 Blood made from animal food is low quality, fiery, hot, causes excessive bleeding, and gets thick, hard to discharge. Cold, raw vegetable foods may damage spleen blood manufacture and create menstrual problems. Worry is the worst to affect (Yinnize) the heart and the spleen; other strong emotions also affect it. Anger affects the liver, preventing the properblood flow (for cramping). From the first child to the end ofcbildbearing, gynecological problems are often due to liver malfunction, as are eye disorders. After childbirth, the spleen. |
Frederic Vagnini, M.D. and Barry Fox, Ph.D.
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 This reduction in vitamin K can contribute to excessive bleeding and osteoporosis. If you take antibiotics for a short period of time and consume a nutritious diet based on a wide variety of foods, you'll probably replace the helpful intestinal bacteria and suffer no serious effects. But if you take antibiotics often or for an extended period of time, if your diet is not very nutritious, or if you have only borderline levels of these nutrients in your body, you may suffer from some of these side effects. |
| In addition, a lack of red blood cells causes anemia, and without platelets there can be bruising and excessive bleeding.
Imatinib is one of the drugs used to treat chronic myeloid leukemia when it has evolved to the point of a blast crisis. Although its actions are not fully understood, we do know that imatinib interferes with an enzyme produced by the abnormal chromosome that's associated with CML. Without this enzyme, it's harder for the colony of cancerous white blood cells to grow. |
Jonathan V. Wright, M.D. and Alan R. Gaby, M.D.
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 Vitamin C and flavonoids are believed to help control excessive bleeding by improving the integrity of capillaries.
As with the vitamin A study described previously, it is possible that some of the improvement attributed to vitamin C and flavonoids was due to a placebo effect. Nevertheless, since these nutrients are safe, inexpensive, and beneficial to the body in a number of ways, it is reasonable to include vitamin C and flavonoids in any treatment plan for menorrhagia. |
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