DrupalWomenQ-#7733

I am on massive coumadin so cannot eat things with Vitamin K. With so many veggies having Vitamin K (I love salads but can’t have them now) what do you recommend to replace all of these veggies?

10 Answers

  1. Nancy Ortiz wrote on :

    Discuss with your MD or Pharmacist (or whomever is monitoring your coumadin levels) but it is not always just the amount of Vit K but that it must stay consistent. I had a client who ate every single day a green leafy vegetable (same quantity) so she was able to continue because it was consistent. BUT most people aren’t consistent so they usually are forbidden green leafy vegetables. Other non-forbidden dietary supplements include Vitamin E, fish oil and almost all herbs (they can affect clotting) unless they are taken daily and in the same amount. We usually allow small amounts of iceberg lettuce because the Vit K is low (which also indicates the poor nutritional value of this type of lettuce). So discuss with your MD.

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    • Nancy Ortiz wrote on :

      Also check out nutritiondata here to find the exact amounts of Vitamin K in a food: http://nutritiondata.self.com/tools/nutrient-search

      example: 1 medium tomato = 9.7 mcg whereas 1 cup raw spinach = 147 mcg BUT if you eat multiple tomatoes obviously it can add up.
      http://www.thefrugaldietitian.com

      Reply
    • Fay Fay wrote on :

      Because my clots (massive and solid) are so bad for over 2 years, I have to take 9 mg of coumadin a day just to be at the low end of normal INR – they say any Vitamin K veggies are a no no.

      Reply
    • Fay Fay wrote on :

      This was very interesting – have been eating some things that I did not know had Vitamin K (blackberries, blueberries, carrots, pears, tomato and cinnamon).

      Reply
    • Nancy Ortiz wrote on :

      It is the idea of being consistent…almost all foods have some. One tomato won’t do any harm but a serving of spinach may. I would recommend seeing a Registered Dietitian to analyze your diet so that you don’t remove too many healthy foods.

      Reply
    • Fay Fay wrote on :

      The foods that I have been eating with Vitamin K seem to be on the low end of how much Vitamin K they have. I am very consistent with those items – for breakfast I have yogurt with either blueberries or blackberries on top as well as flax and cinnamon. Think I will mention this to my doctor when I go back to Mayo.

      Reply
    • Nancy Ortiz wrote on :

      I wrote a post on my blog after being asked by a friend too about coumadin and Vit K: http://thefrugaldietitian.com/?p=22621

      Reply
    • Fay Fay wrote on :

      Read your blog – thanks, very informative. Now I have another question. You talked about it working on the proteins through the liver – what is your take on what to do for an enlarged liver – what can I do to get it to go back to the normal size?

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    • Nancy Ortiz wrote on :

      Are you talking fatty liver or NASH (Non-alcoholic steatohepatitis) when you say enlarged liver just to be sure we can rule those out? Enlarged liver can be without any problems or can indicate an underlying problem. You can always send me an email through frugaldietitian@gmail.com

      Reply
    • Fay Fay wrote on :

      not a fatty liver and I do not know what NASH is but I do not drink. Thanks for your email will also email you.

      Reply
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