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It does not affect platelet function or coagulation pathways, so the combination does not inherently increase haemorrhagic complications beyond the baseline risk of anticoagulation therapy alone

Crha I, Hruba D, Ventruba P, Fiala J, Totusek J, Visnova H

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Its impact spans multiple systems: 1

Eat substantial food 2-3 hours beforehand, avoid driving for at least 4-5 hours afterward, and monitor for GI symptoms