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Analyzing Beneficial Effects of Nutritional Supplements on Intestinal Epithelial Barrier Functions During Experimental Colitis
Published on: January 5, 2017
Dietary supplements and bleeding.
Jess Hatfield1, Saadeddine Saad2, Chad Housewright2
1Texas A&M Health Science Center College of Medicine, Temple, Texas.
Many adults use herbal supplements, which can increase bleeding risks during surgery or with blood thinners. Patients should inform doctors about supplement use and stop non-essential ones before procedures.
Area of Science:
- Pharmacology
- Herbal Medicine
- Surgical Safety
Background:
- One-third of US adults use herbal supplements, often undisclosed to physicians.
- Herbal supplements can interact with surgical procedures and anticoagulant medications, posing bleeding risks.
Purpose of the Study:
- To comprehensively review the evidence on bleeding risks associated with popular herbal and dietary supplements.
- To inform healthcare providers about potential supplement-induced hemostatic alterations.
Main Methods:
- A systematic literature search was conducted using PubMed.
- Evidence regarding bleeding risks of various herbal supplements was reviewed and synthesized.
Main Results:
- Garlic and hawthorn are strongly linked to surgical bleeding independently.
- Ginkgo biloba, chondroitin-glucosamine, melatonin, turmeric, and others pose bleeding risks with anticoagulants.
- Fish oil, ginseng, and saw palmetto showed no associated bleeding risk; evidence for others was conflicting.
Conclusions:
- Physicians need awareness of potential anticoagulant effects from herbal supplements.
- Patients must report all supplement usage to their doctors.
- Discontinuing non-essential supplements two weeks before surgery is recommended to mitigate bleeding risks.
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