Can I eat romaine lettuce while on warfarin?

A new study suggests that -- despite doctor warnings to the contrary -- you can eat leafy greens rich in vitamin K if you are taking the blood thinner warfarin.
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Is romaine lettuce high in vitamin K?

Foods that are medium-high in vitamin K include: Raw leafy greens such as spinach, green leaf lettuce, romaine lettuce, iceberg lettuce, and endive. Vitamin K is also found in some multivitamins, supplements, and herbal products. Warfarin (Coumadin) is an anticoagulant.
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Does romaine lettuce interfere with blood thinners?

However, for some individuals on the medication Coumadin, eating salads can be worrisome because many lettuces and trendy greens are rich in vitamin K, which can interfere with this medication. Coumadin is prescribed to reduce the risk of forming blood clots.
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Can warfarin patients eat lettuce?

The most common foods with high vitamin K are green leafy vegetables such as kale, collard greens, broccoli, spinach, cabbage, and lettuce. Foods with vitamin K that could affect warfarin are listed on the next 2 pages. Other foods that could affect warfarin are beef liver or other animal liver products.
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Is romaine lettuce low in vitamin K?

Romaine lettuce, like all dark leafy greens, offers a range of vitamins and is a potent source of Vitamin K in particular. A one-cup serving of romaine provides upwards of 60% of our daily need for Vitamin K. Vitamin K plays a critical role in bone metabolism, specifically ensuring strong bone mineral density.
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Diet when taking blood thinners | Ohio State Medical Center



Does iceberg lettuce affect warfarin?

One cup of iceberg lettuce contains only about 13 micrograms (mcg) of Vitamin K. This is a low amount and should be safe for you to use as part of your diet while on Coumadin® (warfarin).
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What green vegetables are low in vitamin K?

Some vegetables and fruits low in vitamin K include:
  • sweet corn.
  • onions.
  • squash.
  • eggplant.
  • tomatoes.
  • mushrooms.
  • sweet potatoes.
  • cucumbers (raw)
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What greens can you eat with warfarin?

Instead of avoiding eating leafy green vegetables, warfarin works best when the level of vitamin K in your body stays the same.
...
Some examples of those include:
  • Kale.
  • Endive.
  • Spinach.
  • Mustard greens.
  • Turnip greens.
  • Collard greens.
  • Swiss chard.
  • Brussel sprouts.
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Does lettuce thin your blood or thicken your blood?

Vitamin K, found in green leafy vegetables, helps your blood clot when you get cut. That's why some people on blood thinners, such as Coumadin, believe they shouldn't eat broccoli or spinach or green salads.
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Can you eat salad on blood thinners?

Those who are prescribed a blood thinner, such as Coumadin, are told to avoid foods high in Vitamin K because this will counteract the effects of the blood thinner. Leafy vegetables (e.g. kale, collards, turnip greens, swiss chard, salad greens, parsley, spinach) are the highest sources of vitamin K.
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Does salad increase INR?

Green, leafy vegetables, such as kale, spinach and lettuce, contain vitamin K. Suddenly increasing your consumption of these vegetables and herbs will lower your INR. A consistent diet is essential in maintaining normal INR, so avoid making drastic changes in the foods you consume.
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Can you eat green vegetables on warfarin?

Yes, you can eat these foods in moderation if you choose to, but check with your doctor first. Just take care to eat about the same amount on a day-to-day basis. The reason? Spinach, kale, and other leafy greens are all rich in vitamin K, which plays an essential role in forming blood clots.
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Is romaine lettuce a leafy green?

Lettuce, a type of leafy green, is one of the most commonly eaten veggies in the United States. Leafy greens can be either dark or light in color and include types such as spinach, romaine, kale, escarole, and endive.
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Does romaine lettuce have K2?

Leafy greens are often considered the best natural vegetable sources of vitamin K. Romaine lettuce nutrition is no exception to this since it's a great source of bone-building vitamin K. In fact, studies have shown that vitamin K2 can help boost bone density and prevent osteoporosis even better than calcium can.
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Is romaine lettuce good for you?

Romaine lettuce is high in fiber and low in calories—generally a good ratio for a food to have—but it's also a solid source of essential vitamins and minerals.
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What foods cause your INR to go up?

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  • Kale.
  • Spinach.
  • Brussels sprouts.
  • Collards.
  • Mustard greens.
  • Chard.
  • Broccoli.
  • Asparagus.
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Can you eat cheese on warfarin?

Foods You Can Eat on a Warfarin Diet

On the positive side, patients are able to consume many foods considered safe if they are taking any anticoagulants. These are the foods that are considered safe to consume: Meat, fish, and eggs. Milk, cheese, and yogurt.
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What vegetables can you eat with blood thinners?

Eat these foods in moderation:
  • Asparagus.
  • Broccoli.
  • Brussels sprouts.
  • Cauliflower.
  • Green onions.
  • Kale.
  • Parsley.
  • Spinach.
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Do green vegetables make your INR go up or down?

This way, you can maintain you INR as stable as possible. However, if you never eat green vegetables, you don't have Vitamin K stores, so if you eat a good amount of green vegetables one day, you'll experience a “peak” of Vitamin K, which will then destabilize your INR.
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Are eggs high in vitamin K?

Eggs. Eggs are the easiest to make and can be eaten for any meal of the day. This protein-rich food is also packed with vitamin K. One egg yolk contains anywhere in between 67 and 192 mcg of vitamin K2.
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What are the long term effects of warfarin?

Warfarin is associated with these rare but serious side effects: tissue death, or gangrene, and calciphylaxis, which involves the calcification of a patient's blood vessels. The painful condition often leads to sepsis and organ failure and is fatal 60 to 80 percent of the time.
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Is romaine healthier than iceberg?

Nutritionally speaking, romaine is deemed superior to iceberg. Romaine is packed with nutrients, including vitamins A and C, and good amounts of folic acid and magnesium. The darker green leafy parts provide more nutritional value than the white crunchy centers, but all of it provides fiber in a healthy diet.
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Which lettuce is the healthiest?

Butter lettuce

Also called Boston or bibb lettuce, butter lettuce is the most nutritious of the lettuces on this list. The leaves are higher in folate, iron, and potassium than iceberg or leaf lettuces.
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Which lettuce has the most vitamin K?

Foods high in vitamin K-1
  • chives – 212.7 mcg.
  • raw cress – 541.9 mcg.
  • cooked brussel sprouts – 193.5 mcg.
  • red leaf lettuce – 140.3 mcg.
  • green leaf lettuce –126.3 mcg.
  • soybean oil – 183.9 mcg.
  • mayonnaise – 163 mcg.
  • margarine – 101.3 mcg.
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