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You may not be able to use estradiol and norethindrone, or you may require a dosage adjustment or special monitoring during treatment if you are taking warfarin (Coumadin). You both should read the information on this medication as coumadin is serious. Avoid alcohol, salicylates such as aspirin, larger than usual amounts of foods rich in vitamin K (including liver, vegetable oil, egg yolks, and green leafy vegetables), which can counteract the effect of Coumadin, or any other drastic change in diet. My doctor is "sympathetic", but says that this is a side-effect of Coumadin and I have to deal with it. Any advice please? Blood thinners like coumadin,and alcohol mixed "1 drink or so"is no big deal unless she is drinking a lot.
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