What advice is specifically given for individuals taking the blood thinner Warfarin (Coumadin) regarding daily bok choy intake?
Answer
Keeping Vitamin K intake steady, whether low or consistent, is safer than fluctuating amounts.
Warfarin (Coumadin) functions by interfering with the clotting factors that depend on Vitamin K for activation. Because of this mechanism, drastic fluctuations in dietary Vitamin K intake can destabilize the effectiveness of the medication, leading to either excessive clotting risk or bleeding risk. Therefore, when incorporating Vitamin K-containing foods like bok choy daily, the focus shifts from avoiding the nutrient entirely to maintaining a highly consistent intake level. A dietitian would advise establishing a steady daily amount, allowing the necessary adjustments to be made to the Warfarin dosage to maintain therapeutic efficacy safely.
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