Nina. I have been on Coumadin for about 2 years now, and I just Googled foods with Vitamin K. You get a list of foods with high amounts, moderate, and low.
green leafy veggies, and soy are what you need to watch the most. I tend to eat no soy, except mayonnaise, but I aim for a certain amount of green leafy vegetables every week. Some days I have no Vit. K, and other days I have a huge salad, or 2.5 cups of broccoli. Get a base for how much you are consuming.. like 3 salads a week, or 8 servings of green leafy veggies a week, and just be as consistent as you can. If you eat spinach for example, eat it every week X amount of times, X amount of salads, X amount of broccoli.
This allows them to adjust dose when they test your PTINR. If you are consistent, you will stay on the same dose with minor changes, such as take and extra half a pill.
Doing this, I have been between 1.8-2.2 for most of the time. It kind of sucks because not only can you not go crazy if you find some tasty collard greens, but also because you HAVE to eat a certain amount of Vitamin K too, or else your blood gets too thin, and you start having nose bleeds, or any small cut bleeds for hours.
So just eat the same kinds, and quantity of foods with Vitamin K, and let the doctor adjust your doses to fit what you eat. Don't change what you eat. If you cut foods with Vitamin K that you would normally eat, you will eventually eat them again, and not have enough Coumadin to cover this, and make you blood thicker, and the risk for stroke greater.
So pick a comfortable level, be consistent, and hopefully within a few months, you have great control of it. I don't try to keep track of how many mg of Vitamin K I consume in a week, but based on my consistency with the PTINR testing, it must be close every week, just by controlling servings, and food types.
There may be a few months of adjustment as you learn control. You may go up to 3.6 next month, and have to cut your dose/ add more Vit. K, and the next have the opposite problem with a 1.2 , and need a larger dose/ cut Vit. K. Usually both you and your doctor can figure this out within a few tests though.
If low PTINR causes strokes, and a high may case you to bleed out, just rest assured that doctors are pretty good at making sure neither happens..lol. All I could think about was that Warfarin was rat poison, and killed them by making them bleed out, but I think you will find that it is pretty easy to stay between 2.0-3.0, and this doesn't plummet or soar with one meal. It takes a few days to move the number appreciably. Just listen to the doctor, and ask any questions if you have them.
this may help www.med.unc.edu/gi/im/staff/clinic/nutriti
Edited by: RUSSELL_40 at: 4/25/2014 (13:47)
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