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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Diet Should Be Followed While On Coumadin?

I just started taking Coumadin and i m so confused about what I can eat. I know not to eat green leafy vegetables, carrots, no berries,etc but I have a question about what I can eat. can I have candy, chips, pork & beans, apple juice, turkey sliced, ensure protein shakes or just regular vanilla shakes it s just so much more that I would like to know that I can eat.
Thu, 1 Oct 2015
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Dietitian & Nutritionist 's  Response
Good morning! Your confusion is most common. It is not that you have to follow a "special" diet. Consistency is the solution only for coumadin. Eat what you eat and be consistent about the vitamin K foods from day to day. That is all. A deviation to the high side will increase the action of the drug and a deviation to the low side of Potassium will decrease the effectiveness of the diet.

You may find lists of potassium containing foods, look at the list to see about what you usually eat in a day and then strive for that same amount every day.Consistency.

Foods high in potassium >500 mg Potassium: 1 tsp. cream of tartar, 1 cup prune or tomato juice, 1 1/4 cup citrus juice, 1 medium banana, 7-8 dates or 4 figs, 6 fresh apricots, 1 1/2 milk of any kind, 1 cup broccoli, 1/2 cantalope, 1/2 tsp salt sub (just don't use it), 3/4 c winter squash, 1 lg. white potato, 1/2 avocodos, 2 Tb molasses, 1/2 cup nuts,1/2 cup dried beans cooked.
Vitamin Cautions::
Do not take multivitamins as they may have vitamin K or vitamin E (400 IU is a high dose to combine with coumadin).Avoid Coenzyme Q 10 and avoid more than the recommended daily dose of vitamin A. Interactions with fish oil reported.The same with soy or green tea. No interaction with cranberry juice.

Now I know it seems like you can't eat anything, correct? Avoid multivitamins and the specific supplements noted above. That is easy.

You can eat candy, but of course I don't like the idea.I said consistency. If I were to plan your diet I would look at what you like to eat minus what is on the high potassium list, come up with how much potassiium you usually eat and strive for CONSISTENCY.

I am not familiar with which diet sheet she gave you as it is the Dietitian's duty to do the instruction on the diet, so I cannot refer to what she talked about. However, why chips? Aside from the coumadin issue, look at all that salt! Also, refer to the high potassium list above, potatoes are high in potassium. To be healthy I suggest you choose more nutrient dense foods, not snack foods. Pork and beans are on your "high" list above, but remember consistency. Portion control and do some other potassium swapping to come out consistent in intake. If you can't do that I would say no that is not the best choice either. Ensure has supplements in them.You may have turkey. Your dietitian should be able to guide you on a whey based powder to make without much milk choosing a juice lower in potassium content.

Now, that dietitian that gave you that diet sheet was supposed to go over a sample menu with you and above all not let you leave thinking there was nothing you could eat. Next time feel free to ask questions and expect answers from them.

At this point I would contact the dietitian who gave you that sheet of paper and have her do a food intake, a likes and dislikes, a diet order (what diet are you on anyway -just for coumadin?), likes and dislikes and have her help you put together a series of 3 days worth of meals (minimum competency level is one meal).

I would love to do her job, but only the person who knows your diet order and chart data can answer your questions accurately. I am sorry. If you want to come see me privately you can visit my virtual specialist clinic here with all your meds, supplements, diet order, diagnoses, lab, likes/dislikes, I can work with you on putting together a meal plan. I wish you good luck. Kathryn Shattler, MS,RDN
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What Diet Should Be Followed While On Coumadin?

Good morning! Your confusion is most common. It is not that you have to follow a special diet. Consistency is the solution only for coumadin. Eat what you eat and be consistent about the vitamin K foods from day to day. That is all. A deviation to the high side will increase the action of the drug and a deviation to the low side of Potassium will decrease the effectiveness of the diet. You may find lists of potassium containing foods, look at the list to see about what you usually eat in a day and then strive for that same amount every day.Consistency. Foods high in potassium 500 mg Potassium: 1 tsp. cream of tartar, 1 cup prune or tomato juice, 1 1/4 cup citrus juice, 1 medium banana, 7-8 dates or 4 figs, 6 fresh apricots, 1 1/2 milk of any kind, 1 cup broccoli, 1/2 cantalope, 1/2 tsp salt sub (just don t use it), 3/4 c winter squash, 1 lg. white potato, 1/2 avocodos, 2 Tb molasses, 1/2 cup nuts,1/2 cup dried beans cooked. Vitamin Cautions:: Do not take multivitamins as they may have vitamin K or vitamin E (400 IU is a high dose to combine with coumadin).Avoid Coenzyme Q 10 and avoid more than the recommended daily dose of vitamin A. Interactions with fish oil reported.The same with soy or green tea. No interaction with cranberry juice. Now I know it seems like you can t eat anything, correct? Avoid multivitamins and the specific supplements noted above. That is easy. You can eat candy, but of course I don t like the idea.I said consistency. If I were to plan your diet I would look at what you like to eat minus what is on the high potassium list, come up with how much potassiium you usually eat and strive for CONSISTENCY. I am not familiar with which diet sheet she gave you as it is the Dietitian s duty to do the instruction on the diet, so I cannot refer to what she talked about. However, why chips? Aside from the coumadin issue, look at all that salt! Also, refer to the high potassium list above, potatoes are high in potassium. To be healthy I suggest you choose more nutrient dense foods, not snack foods. Pork and beans are on your high list above, but remember consistency. Portion control and do some other potassium swapping to come out consistent in intake. If you can t do that I would say no that is not the best choice either. Ensure has supplements in them.You may have turkey. Your dietitian should be able to guide you on a whey based powder to make without much milk choosing a juice lower in potassium content. Now, that dietitian that gave you that diet sheet was supposed to go over a sample menu with you and above all not let you leave thinking there was nothing you could eat. Next time feel free to ask questions and expect answers from them. At this point I would contact the dietitian who gave you that sheet of paper and have her do a food intake, a likes and dislikes, a diet order (what diet are you on anyway -just for coumadin?), likes and dislikes and have her help you put together a series of 3 days worth of meals (minimum competency level is one meal). I would love to do her job, but only the person who knows your diet order and chart data can answer your questions accurately. I am sorry. If you want to come see me privately you can visit my virtual specialist clinic here with all your meds, supplements, diet order, diagnoses, lab, likes/dislikes, I can work with you on putting together a meal plan. I wish you good luck. Kathryn Shattler, MS,RDN