What's happening
Nattokinase is a fibrinolytic enzyme that directly breaks down fibrin and inhibits platelet aggregation. Combined with any anticoagulant (warfarin, aspirin, DOACs), dramatically increases bleeding risk.
Recommendation
Do NOT take nattokinase with any blood thinner. Consult doctor before use.
Timing
Avoid combination entirely; stop 2 weeks before surgery
Sources
- — Nutrition Research
- — PMID: 19818632
- — PMID: 15046501