
Fishing for an alternative Q: Do you know of any natural alternatives to Coumadin that are as effective, but with less side effects? Dr. Wright: Cod liver oil (or any other fish oil) is a very effective natural alternative to Coumadin. It works by making blood platelets so slippery that they can't stick together to form a clot. And, unlike Coumadin, the worst "side effects" associated with fish oil are its taste (although there are more pleasant-tasting varieties available) and potential gastrointestinal upset if the whole dose is taken all at once. I usually recommend 2 to 3 tablespoons of fish oil per day. And any time I recommend fish oil, I also recommend extra vitamin E (as mixed tocopherols), to prevent the oils from oxidizing too rapidly in the body. Take 800-1,000 IU of vitamin E along with the other fish oil each day. The total daily amount can be split up into two or three doses, to avoid the possibility of the gastrointestinal upset I mentioned above. But before switching over to cod liver oil, it's important to consult a physician skilled and knowledgeable in nutritional and natural medicine to develop a plan that is best for your particular needs.  |