Can Switching To A More Sedentary Lifestyle Working From Home Due To COVID Contribute?
It started with a terrible pain in my calf the Saturday prior which I dismissed as a pulled muscle or electrolyte imbalance.
I have a history of anemia but my hemoglobin has always been above 10 until last year around April when a CBC test showed it had dropped to 6.2. I have heavy periods from Fibroids.
I had been taking multivitamins religiously as well as and additional D3 + K2 tablet. I doubled the dosage for the tablet so in total my daily intake was 1350% for the D3 and 400% for the K2. About 3 weeks prior to the blood clot, I had stopped taking all the vitamins. I was also taking another supplement called NAC. I was taking 2 of those (2000 mg total) but also stopped at the same time.
Questions:
Can anemia cause blood clots?
Can switching to a more sedentary lifestyle (working from home due to COVID) contribute?
Could the sudden withdrawal from the vitamin supplementation cause adverse reactions, like the blood clot?
Further meticulous examination is required
Detailed Answer:
Dear
Thanks for contacting with your health concern and after reviewing your health query I'm of the following opinion:
1. As Anemia ( low hemoglobin), causes decreased oxygen carrying capacity of the blood which may worsen hypoxia in PE, thus it could be the disturbed hemodynamic compromise which could have resulted in unprovoked PE, since the heart has to work harder to pump more blood and oxygen.
2. It is also wise to see a Vascular Surgeon to perform a physical examination and investigation like d-dimer test, Doppler Study and any other relevant, (deemed necessary)
3. As you have excluded most of the risk factors for developing PE, thus check with your sugar level, lipid profile, blood pressure and Cardiology examination to exclude any Valvular Pathology ( causing PE).
4. Three most important factors for development of blood clots are:
- Hypercoagubility.
- Injury
- Stasis ( PRESENT): due to sedentary life style might have contribute to the pathology.
5. Recent studies have suggested that low levels of 25(OH)D is associated with idiopathic lower extremity deep vein thrombosis (DVT).
6. According to new research at the University Of XXXXXXX Health system, NAC ( N- acetyl cysteine), which you were taking can form a red blood cell derived molecule ( nitrosothiol) that makes blood vessels think they are not getting enough oxygen, leading to pulmonary arterial hypertension (PAH)
https://www.sciencedaily.com/releases/2007/09/0000.htm
Dr. Munish Sood
Consultant Physician
Naimittika
direct online link: bit.ly/drmunishsood