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Aspirin at 40
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<blockquote data-quote="Peter-in-Wicklow" data-source="post: 2269629" data-attributes="member: 502830"><p>I'm coming at this as a pharmacist. Low-dose aspirin does reduce the risk of clots, but it also increases the risk of gastro-intestinal bleeding (every coin has two sides). Genetics, diet and probably microbiome (gut bacteria) imbalances may aggravate the risks. Statistically, the risks increase significantly with age, with 70-75 being a milestone. </p><p></p><p>At 40, you're not in the high-risk group for bleeds. If it was prescribed, I'm guessing there was a good reason. However, if circumstances have changed (e.g. if was prescribed while recovering from an operation), it'd be worth reviewing with your doctor. </p><p></p><p>Many people suffer some gastrointestinal discomfort even with low-dose aspirin. Others may notice micro-bleeds or blotches under the skin. In those situations, it's worth noting that the anti-clotting effect of aspirin lasts far longer than its painkilling effects (days rather than hours). This might permit dosing frequency to be reduced from daily to every second day or a couple of times per week. Obviously, that needs to be discussed with your prescriber. </p><p></p><p>Another option is to take an acid-blocking medication (a PPI). These have been shown to reduce bleeding risk with low-dose aspirin, but (if taken long-term) reduce the amount of acid available to digest your food and aid absorption of micronutrients.</p></blockquote><p></p>
[QUOTE="Peter-in-Wicklow, post: 2269629, member: 502830"] I'm coming at this as a pharmacist. Low-dose aspirin does reduce the risk of clots, but it also increases the risk of gastro-intestinal bleeding (every coin has two sides). Genetics, diet and probably microbiome (gut bacteria) imbalances may aggravate the risks. Statistically, the risks increase significantly with age, with 70-75 being a milestone. At 40, you're not in the high-risk group for bleeds. If it was prescribed, I'm guessing there was a good reason. However, if circumstances have changed (e.g. if was prescribed while recovering from an operation), it'd be worth reviewing with your doctor. Many people suffer some gastrointestinal discomfort even with low-dose aspirin. Others may notice micro-bleeds or blotches under the skin. In those situations, it's worth noting that the anti-clotting effect of aspirin lasts far longer than its painkilling effects (days rather than hours). This might permit dosing frequency to be reduced from daily to every second day or a couple of times per week. Obviously, that needs to be discussed with your prescriber. Another option is to take an acid-blocking medication (a PPI). These have been shown to reduce bleeding risk with low-dose aspirin, but (if taken long-term) reduce the amount of acid available to digest your food and aid absorption of micronutrients. [/QUOTE]
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