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Medical Forum / General / General / March 2007

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Just How Much Does Aspirin Effect Blood Clotting?

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Nehmo - 04 Mar 2007 09:45 GMT
Aspirin thins out the blood, I understand. Here's something of an
explanation: http://askascientist.binghamton.edu/may-jun/18may06ask.html
This says that Aspirin is a platelet aggregation inhibitor. But is the
viscosity of blood different when aspirin is in the blood?  Does
aspirin-blood go through small tubes, say syringe needles, more
easily? Is it easier to start an IV on someone who has taken aspirin?
And how easily detectable is the effect of aspirin on the clotting of
blood? Is aspirin-blood noticeably different? Does a cut take
significantly longer to scab-up?
---
      (||)   Nehmo   (||)
Andrew B. Chung, MD/PhD - 04 Mar 2007 10:55 GMT
> Aspirin thins out the blood, I understand. Here's something of an
> explanation: http://askascientist.binghamton.edu/may-jun/18may06ask.html
> This says that Aspirin is a platelet aggregation inhibitor. But is the
> viscosity of blood different when aspirin is in the blood?

No.

>  Does
> aspirin-blood go through small tubes, say syringe needles, more
> easily?

No.

> Is it easier to start an IV on someone who has taken aspirin?

No.

> And how easily detectable is the effect of aspirin on the clotting of
> blood?

Not easily detectable.

> Is aspirin-blood noticeably different?

No.

> Does a cut take
> significantly longer to scab-up?

No.

Andrew <><
--
Andrew B. Chung, MD/PhD
http://EmoryCardiology.com
Nehmo - 04 Mar 2007 20:22 GMT
On Mar 4, 4:55 am, "Andrew B. Chung, MD/PhD" <l...@thetruth.com>
wrote:
> Nehmowrote:
> > Aspirin thins out the blood, I understand. Here's something of an
[quoted text clipped - 31 lines]
> --
> Andrew B. Chung, MD/PhD http://EmoryCardiology.com

Thanks. I had thought there was a difference, and I even heard once
(and I know this sounds a little stupid) that before doing something
dangerous, like driving a race car or base jumping, you shouldn't take
aspirin because if injured, you'll need all the clotting speed you can
get.

But there is a basis for aspirin being known to inhibiting clotting.
Apparently, since the effect is minor, there doesn't seem to be an
application for it in everyday life.

--
  (||)   Nehmo   (||)
Andrew B. Chung, MD/PhD - 04 Mar 2007 20:34 GMT
> Andrew, in the Holy Spirit, boldly wrote:
>
[quoted text clipped - 30 lines]
>
> Thanks.

You are welcome.

All thanks and praises belong to GOD, Who is the Source of all
knowledge and wisdom.

> I had thought there was a difference, and I even heard once
> (and I know this sounds a little stupid) that before doing something
> dangerous, like driving a race car or base jumping, you shouldn't take
> aspirin because if injured, you'll need all the clotting speed you can
> get.

There is a noticeable difference in the time it takes for arterial
bleeding from a cut to stop bleeding depending on whether aspirin is
being taken daily.

For this reason, aspirin is typically held for a few days before when
such bleeding is anticipated.

> But there is a basis for aspirin being known to inhibiting clotting.
> Apparently, since the effect is minor, there doesn't seem to be an
> application for it in everyday life.

Actually, the anti-platelet function of aspirin is quite potent and
effective in the right setting (preventing arterial occlusion).

Andrew <><
--
Andrew B. Chung, MD/PhD
http://EmoryCardiology.com
Hawki63@sbcglobal.net - 04 Mar 2007 22:12 GMT
>> Andrew, in the Holy Spirit, boldly wrote:
>>
[quoted text clipped - 29 lines]
>> >
>> > No.

think I would have to disagree great doctor

hubby who takes only 81 mg a day post MI...etc...and is a very active do it
yourselfer..is often tagged with "scabs" etc..and when he scratches one open
...I often watch him hold pressure and Kleenex etc to it...far longer than
whatis considered "normal clotting" time for mild skin abrasions...

>> Thanks.
>
[quoted text clipped - 27 lines]
> Andrew B. Chung, MD/PhD
> http://EmoryCardiology.com
Howard McCollister - 04 Mar 2007 22:39 GMT
>>> > > Does a cut take
>>> > > significantly longer to scab-up?
[quoted text clipped - 7 lines]
> open ...I often watch him hold pressure and Kleenex etc to it...far longer
> than whatis considered "normal clotting" time for mild skin abrasions...

Platelet aggregation is only one part of the body's anti-bleeding mechanism.
There is a difference between clotting time and bleeding time. Aspirin or
other anti-platelet drugs affects bleeding, they don't affect the body's
intrinsic or extrinsic clotting mechanism. Andrew is correct - a wound
doesn't take significantly longer to scab up, but that wound may bleed more
vigorously until it does.

HMc
Andrew B. Chung, MD/PhD - 04 Mar 2007 23:38 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 32 lines]
>
> think I would have to disagree great doctor

Does not bother me if you do choose to disagree.

As for great, that glory belongs to GOD, Whom I love with all my
heart, soul, mind, and strength.  Laus Deo ! ! !

> hubby who takes only 81 mg a day post MI...etc...and is a very active do it
> yourselfer..is often tagged with "scabs" etc..and when he scratches one open
> ...I often watch him hold pressure and Kleenex etc to it...far longer than
> whatis considered "normal clotting" time for mild skin abrasions...

It is likely that your husband's mild skin abrasions are closer to
lacerations.

I too am an active do-it-yourselfer and have to hold pressure on what
my wife believes are "mild skin abrasions."  When pressure has to be
held to stop the bleeding, there is at least one cut tiny artery in
the injury somewhere.  As an invasive cardiologist, I do have a lot of
experience applying pressure to stop bleeding from arteries that I
have punctured to perform catheterizations.  On the surface, these
wounds do indeed look like "mild skin abrasions."

Andrew <><
--
Andrew B. Chung, MD/PhD
http://EmoryCardiology.com
Howard McCollister - 04 Mar 2007 21:06 GMT
> But there is a basis for aspirin being known to inhibiting clotting.
> Apparently, since the effect is minor, there doesn't seem to be an
> application for it in everyday life.
>
> --
>   (||)   Nehmo   (||)

Other than its ability to prevent cardiovascular events or limit the effects
of those that do occur, such as heart attack or stroke, by inhibiting
platelet aggregation, no -- no application for aspirin at all. None of the
commonly viewed "blood thinners" actually thin the blood - the actual
viscosity is unchanged. Trental (pentyoxphylline), however does supposedly
change the effective viscosity by enhancing red cell flexibility. It's
touted as letting blood flow into smaller arterioles thereby being effective
in healing ischemic ulcerations of the distal extremities. Sounds good in
theory but in practice it doesn't actually work.

HMc
William Wagner - 04 Mar 2007 21:30 GMT
> > But there is a basis for aspirin being known to inhibiting clotting.
> > Apparently, since the effect is minor, there doesn't seem to be an
[quoted text clipped - 14 lines]
>
> HMc

Hello Howard

Any thoughts concerning Cinnamon  another bark ?

Bill who ingests a gram a day for preventive  blood sugar. (BG)

Am I delusional?

Signature

S Jersey USA Zone 5 Shade  
http://www.ocutech.com/  High tech Vison aid
This article is posted under fair use rules in accordance with
Title 17 U.S.C. Section 107, and is strictly for the educational
and informative purposes. This material is distributed without profit.

Howard McCollister - 04 Mar 2007 22:16 GMT
> Hello Howard
>
[quoted text clipped - 3 lines]
>
> Am I delusional?

Cinnamon is a great spice.However, its efficacy as a medicine is only
demonstrated by rumor, legend and anecdote.

HMc
William Wagner - 05 Mar 2007 00:52 GMT
> "William Wagner" <not-to-here-williamwag@gmail.com> wrote in message
> news:not-to-here-williamwag-E7C7D7.16304504032007@sn-indi.vsrv-sjc.supernews.n
[quoted text clipped - 12 lines]
>
> HMc

Still as Jim would point out a small study.

1: Diabetes Care. 2003 Dec;26(12):3215-8.
  Links
Cinnamon improves glucose and lipids of people with type 2 diabetes.
  €  Khan A, Safdar M, Ali Khan MM, Khattak KN, Anderson RA.
Department of Human Nutrition, NWFP Agricultural University, Peshawar,
Pakistan.
OBJECTIVE: The objective of this study was to determine whether cinnamon
improves blood glucose, triglyceride, total cholesterol, HDL
cholesterol, and LDL cholesterol levels in people with type 2 diabetes.
RESEARCH DESIGN AND METHODS: A total of 60 people with type 2 diabetes,
30 men and 30 women aged 52.2 +/- 6.32 years, were divided randomly into
six groups. Groups 1, 2, and 3 consumed 1, 3, or 6 g of cinnamon daily,
respectively, and groups 4, 5, and 6 were given placebo capsules
corresponding to the number of capsules consumed for the three levels of
cinnamon. The cinnamon was consumed for 40 days followed by a 20-day
washout period. RESULTS: After 40 days, all three levels of cinnamon
reduced the mean fasting serum glucose (18-29%), triglyceride (23-30%),
LDL cholesterol (7-27%), and total cholesterol (12-26%) levels; no
significant changes were noted in the placebo groups. Changes in HDL
cholesterol were not significant. CONCLUSIONS: The results of this study
demonstrate that intake of 1, 3, or 6 g of cinnamon per day reduces
serum glucose, triglyceride, LDL cholesterol, and total cholesterol in
people with type 2 diabetes and suggest that the inclusion of cinnamon
in the diet of people with type 2 diabetes will reduce risk factors
associated with diabetes and cardiovascular diseases.
PMID: 14633804 [PubMed - indexed for MEDLINE]

Signature

S Jersey USA Zone 5 Shade  
http://www.ocutech.com/  High tech Vison aid
This article is posted under fair use rules in accordance with
Title 17 U.S.C. Section 107, and is strictly for the educational
and informative purposes. This material is distributed without profit.

Matti Narkia - 05 Mar 2007 07:42 GMT
>> "William Wagner" <not-to-here-williamwag@gmail.com> wrote in message
>> news:not-to-here-williamwag-E7C7D7.16304504032007@sn-indi.vsrv-sjc.supernews.n
[quoted text clipped - 41 lines]
>associated with diabetes and cardiovascular diseases.
>PMID: 14633804 [PubMed - indexed for MEDLINE]

Also the full text of the above study is freely available:

Khan A, Safdar M, Ali Khan MM, Khattak KN, Anderson RA. Cinnamon
improves glucose and lipids of people with type 2 diabetes.
Diabetes Care. 2003 Dec;26(12):3215-8.
PMID: 14633804 [PubMed - indexed for MEDLINE]
<http://care.diabetesjournals.org/cgi/content/full/26/12/3215>

With the exception of one study, other diabetes and blood pressure
related cinnamon studies have also given positive results:

Mancini-Filho J, Van-Koiij A, Mancini DA, Cozzolino FF, Torres RP.
Antioxidant activity of cinnamon (Cinnamomum Zeylanicum, Breyne)
extracts.
Boll Chim Farm. 1998 Dec;137(11):443-7.
PMID: 10077878 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra
ctPlus&list_uids=10077878
>

   "... SIGNIFICANCE: These results suggest that the cinnamon
   extracts can be used as food antioxidant together with the
   improvement of food palatability. Further studies are in
   processing of analysing the sinergic association of extracts
   with synthetic antioxidant and to identify compounds with
   antioxidant activity in cinnamon extracts."

Jarvill-Taylor KJ, Anderson RA, Graves DJ.
A hydroxychalcone derived from cinnamon functions as a mimetic for
insulin in 3T3-L1 adipocytes.
J Am Coll Nutr. 2001 Aug;20(4):327-36.
PMID: 11506060 [PubMed - indexed for MEDLINE]
<http://www.jacn.org/cgi/content/full/20/4/327>

   "... CONCLUSION: Together, these results demonstrate that the
   MHCP is an effective mimetic of insulin. MHCP may be useful
   in the treatment of insulin resistance and in the study of
   the pathways leading to glucose utilization in cells."

Qin B, Nagasaki M, Ren M, Bajotto G, Oshida Y, Sato Y.
Cinnamon extract (traditional herb) potentiates in vivo
insulin-regulated glucose utilization via enhancing insulin signaling
in rats.
Diabetes Res Clin Pract. 2003 Dec;62(3):139-48.
PMID: 14625128 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra
ctPlus&list_uids=14625128
>

   "... These results suggest that the cinnamon extract would
   improve insulin action via increasing glucose uptake in vivo,
   at least in part through enhancing the insulin-signaling
   pathway in skeletal muscle."

Qin B, Nagasaki M, Ren M, Bajotto G, Oshida Y, Sato Y.
Cinnamon extract prevents the insulin resistance induced by a
high-fructose diet.
Horm Metab Res. 2004 Feb;36(2):119-25.
PMID: 15002064 [PubMed - indexed for MEDLINE]
<http://www.thieme-connect.com/DOI/DOI?10.1055/s-2004-814223>

   "... These results suggest that early CE administration to
   HFD-fed rats would prevent the development of insulin
   resistance at least in part by enhancing insulin signaling
   and possibly via the NO pathway in skeletal muscle."

Kim SH, Hyun SH, Choung SY.
Anti-diabetic effect of cinnamon extract on blood glucose in db/db
mice.
J Ethnopharmacol. 2006 Mar 8;104(1-2):119-23. Epub 2005 Oct 5.
PMID: 16213119 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra
ctPlus&list_uids=16213119
>

   "... These results suggest that cinnamon extract has a
   regulatory role in blood glucose level and lipids and it may
   also exert a blood glucose-suppressing effect by improving
   insulin sensitivity or slowing absorption of carbohydrates in
   the small intestine."

H. G. Preuss, B. Echard, M. M. Polansky, and R. Anderson
Whole cinnamon and aqueous extracts ameliorate sucrose-induced blood
pressure elevations in spontaneously hypertensive rats.
J. Am. Coll. Nutr., April 1, 2006; 25(2): 144 - 150.
<http://www.jacn.org/cgi/content/abstract/25/2/144>

   "... Conclusions: Cinnamon is used for flavor and taste in
   food preparation, but cinnamon may have additional roles in
   glucose metabolism and BP regulation. Therefore, BP
   regulation may not only be influenced favorably by limiting
   the amounts of dietary substances that have negative effects
   on BP and insulin function but also by the addition of
   beneficial ones, such as cinnamon, that have positive
   effects."

K. Vanschoonbeek, B. J. W. Thomassen, J. M. Senden, W. K. W. H.
Wodzig, and L. J. C. van Loon
Cinnamon Supplementation Does Not Improve Glycemic Control in
Postmenopausal Type 2 Diabetes Patients
J. Nutr., April 1, 2006; 136(4): 977 - 980.
<http://jn.nutrition.org/cgi/content/abstract/136/4/977>

   "... We conclude that cinnamon supplementation (1.5 g/d) does
   not improve whole-body insulin sensitivity or oral glucose
   tolerance and does not modulate blood lipid profile in
   postmenopausal patients with type 2 diabetes. More research
   on the proposed health benefits of cinnamon supplementation
   is warranted before health claims should be made."

Preuss HG, Echard B, Polansky MM, Anderson R.
Whole cinnamon and aqueous extracts ameliorate sucrose-induced blood
pressure elevations in spontaneously hypertensive rats.
J Am Coll Nutr. 2006 Apr;25(2):144-50.
PMID: 16582031 [PubMed - indexed for MEDLINE]
<http://www.jacn.org/cgi/content/abstract/25/2/144>

   "... CONCLUSIONS: Cinnamon is used for flavor and taste in
   food preparation, but cinnamon may have additional roles in
   glucose metabolism and BP regulation. Therefore, BP
   regulation may not only be influenced favorably by limiting
   the amounts of dietary substances that have negative effects
   on BP and insulin function but also by the addition of
   beneficial ones, such as cinnamon, that have positive
   effects."

Mang B, Wolters M, Schmitt B, Kelb K, Lichtinghagen R, Stichtenoth DO,
Hahn A.
Effects of a cinnamon extract on plasma glucose, HbA, and serum lipids
in diabetes mellitus type 2.
Eur J Clin Invest. 2006 May;36(5):340-4.
PMID: 16634838 [PubMed - indexed for MEDLINE]
<http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2362.2006.01629.x>

   "... CONCLUSIONS: The cinnamon extract seems to have a
   moderate effect in reducing fasting plasma glucose
   concentrations in diabetic patients with poor glycaemic
   control."

Kannappan S, Jayaraman T, Rajasekar P, Ravichandran MK, Anuradha CV.
Cinnamon bark extract improves glucose metabolism and lipid profile in
the fructose-fed rat.
Singapore Med J. 2006 Oct;47(10):858-63.
PMID: 16990960 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra
ctPlus&list_uids=16990960
>
<http://www.sma.org.sg/smj/4710/4710a4.pdf> (full text)

   "... CONCLUSION: These findings indicate the improvement of
   glucose metabolism in-vivo by CBEt in fructose-fed rats."

T. P. J. Solomon, A. K. Blannin
Effects of short-term cinnamon ingestion on in vivo glucose tolerance
Diabetes, Obesity and Metabolism (OnlineEarly Articles).
Published article online: 08 Feb 2007
doi:10.1111/j.1463-1326.2006.00694.x
<http://www.blackwell-synergy.com/doi/abs/10.1111/j.1463-1326.2006.00694.x>

   "... Conclusions: These data illustrate that cinnamon spice
   supplementation may be important to in vivo glycaemic control
   and insulin sensitivity in humans, and not only are its
   effects immediate, they also appear to be sustained for 12
   h."

Wang JG, Anderson RA, Chu MC, Sauer MV, Guarnaccia MM, Lobo RA.
The effect of cinnamon extract on insulin resistance parameters in
polycystic ovary syndrome: a pilot study.
Fertil Steril. 2007 Feb 9; [Epub ahead of print]
PMID: 17296187 [PubMed - as supplied by publisher]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra
ctPlus&list_uids=17296187
>

   "Cinnamon extract has been shown to reduce insulin resistance
   in in vitro and in vivo studies by increasing
   phosphatidylinositol 3-kinase activity in the insulin
   signaling pathway and thus potentiating insulin action.
   Fifteen women with polycystic ovary syndrome (PCOS) were
   randomized to daily oral cinnamon and placebo for 8 weeks.
   Comparisons of post-treatment to baseline insulin sensitivity
   indices using fasting and 2-hour oral glucose tolerance tests
   showed significant reductions in insulin resistance in the
   cinnamon group but not in the placebo group. A larger trial
   is needed to confirm the findings of this pilot study and to
   evaluate the effect of cinnamon extract on menstrual
   cyclicity."

Signature

Matti Narkia

chamelian_girl@yahoo.com - 05 Mar 2007 00:11 GMT
> Aspirin thins out the blood, I understand. Here's something of an
> explanation:http://askascientist.binghamton.edu/may-jun/18may06ask.html
[quoted text clipped - 7 lines]
> ---
>            (||)   Nehmo   (||)

Vitamin K is good for clotting.

Paula
MobiusDick - 05 Mar 2007 17:09 GMT
You can bleed to death from certain procedures like a liver biopsy if
the doctor doesn't know you are taking aspirin regularly. It changes
the prothrombin time significantly

MD
JEDilworth - 05 Mar 2007 17:58 GMT
I'm not sure that it changes the protime. It may change a test called
"platelet aggregation" however. A severely diseased liver, however, will
change your protime result (increasing it) because clotting factors are
produced in the liver. Patients with cirrhosis and other liver diseases have
increased protimes - not because of aspirin but because of reduced liver
function. (Am I correct, Dr. Chung???)

As I remember years ago from MT training, clotting is a cascade of clotting
factors (which I had to know once - don't remember it all any more), ending
with the platelets. Aspirin affects the platelets - NOT the clotting
factors. Check out the page below - this lists medications that change
platelet function vs. clotting factors.

Clotting is a very complicated body function. If you are deficient in any of
the clotting factors you won't clot (i.e. hemophilia and other clotting
factor diseases).

Judy Dilworth, M.T. (ASCP)
Microbiology (but trained in all areas of lab at one time)

http://www-admin.med.uiuc.edu/hematology/Medications.htm
> You can bleed to death from certain procedures like a liver biopsy if
> the doctor doesn't know you are taking aspirin regularly. It changes
> the prothrombin time significantly
>
> MD
Andrew B. Chung, MD/PhD - 05 Mar 2007 18:07 GMT
> I'm not sure that it changes the protime. It may change a test called
> "platelet aggregation" however. A severely diseased liver, however, will
> change your protime result (increasing it) because clotting factors are
> produced in the liver. Patients with cirrhosis and other liver diseases have
> increased protimes - not because of aspirin but because of reduced liver
> function. (Am I correct, Dr. Chung???)

You are correct.

> As I remember years ago from MT training, clotting is a cascade of clotting
> factors (which I had to know once - don't remember it all any more), ending
[quoted text clipped - 10 lines]
>
> http://www-admin.med.uiuc.edu/hematology/Medications.htm

Would only add that clotting is also very tightly regulated with
additional factors that when deficient causes folks to be
hypercoagulable (clot too easily).  All of these factors are made by
the liver with many dependent on vitamin K as a cofactor for their
synthesis.

Andrew <><
--
Andrew B. Chung, MD/PhD
http://EmoryCardiology.com

> > You can bleed to death from certain procedures like a liver biopsy if
> > the doctor doesn't know you are taking aspirin regularly. It changes
> > the prothrombin time significantly
> >
> > MD
Manky Badger - 05 Mar 2007 18:12 GMT
> You can bleed to death from certain procedures like a liver biopsy if
> the doctor doesn't know you are taking aspirin regularly. It changes
> the prothrombin time significantly

No it doesn't.

It has no effect whatsoever on the prothrombin time. All the effects are on
the cyclo-oxygenase pathways in the platelets.
JEDilworth - 05 Mar 2007 18:41 GMT
Thanks, Manky. I didn't know the real reason but I knew it didn't affect
protimes. I remember a few things from basic coagulation, but haven't done
the testing in years. I suppose it's like riding a bike - you remember after
you're put up on it again and pedal around for awhile :-).

Judy Dilworth, M.T. (ASCP)
Microbiology

> No it doesn't.
>
> It has no effect whatsoever on the prothrombin time. All the effects are
> on the cyclo-oxygenase pathways in the platelets.
kuhnfucius - 06 Mar 2007 03:35 GMT
It is my understanding that in about 25% of the people taking asprin that
the platelet function is unimpaired.  This is also true to about the same
extent for plavex (sp).  Usually no platelet function testing is done after
dosing to determine effect, because there is no theraputic alternative.  Do
not take this as an authoritive reference....I am posting this to verify
what I have heard and did not read in a published article.
> Aspirin thins out the blood, I understand. Here's something of an
> explanation: http://askascientist.binghamton.edu/may-jun/18may06ask.html
[quoted text clipped - 7 lines]
> ---
>    (||)   Nehmo   (||)
ironjustice - 25 Mar 2007 16:48 GMT
> Aspirin thins out the blood, I understand. Here's something of an
> explanation:http://askascientist.binghamton.edu/may-jun/18may06ask.html
[quoted text clipped - 7 lines]
> ---
>            (||)   Nehmo   (||)

It causes hemolysis .. decreases the NUMBER of red blood cells.

It treats .. erythrocytosis .. too many red blood cells .. which
CAUSES hyperviscosity / blood thickening .. and the fact iron destroys
red blood cells / hemolysis .. NOW .. lowers / decreases / eliminates
the .. viscosity .. and now it is .. blood .. thinning ..

THAT is WHY it works in polycythemia ..  erythrocytosis  .. increased
red blood cell production.

Pediatr Res. 1978 Sep;12(9):927-31. Links
Aspirin-induced hemolysis: the role of concomitant oxidant (H2O2)
challenge.Stockman JA 3rd, Lubin B, Oski FA.
Studies were conducted in an attempt to determine the hemolytic
potential of acetylsalicylic acid (ASA) on normal intact red blood
cells (RBCs). ASA (25 mg/100 ml) did not impair RBC G-6-PD,
glutathione peroxidase or catalase activity, glutathione stability, or
hexose monophosphate shunt activity. Hemolysis was not observed after
incubation with ASA alone but was quickly noted after exposure to ASA
(25 mg/100 ml) and H2O2 (1.2%). Hemolysis did not occur with H2O2
alone but was directly proportional to the ASA concentration.
Hemolysis was preceded by peroxidation of membrane lipid and was
inhibited by the presence of the antioxidant, thymol. With ASA and
H2O2 a marked reduction in membrane phosphatidyl ethanolamine occurred
with oxidation of 20:4 and 22:6 fatty acids. No effect on
phospholipids or fatty acids occurred with either ASA or H2O2 alone.
Salicylic acid, singly or with H2O2, does not exhibit these effects.

PMID: 714540 [PubMed - indexed for MEDLINE]

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://jesuswasavegetarian.7h.com

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk
ironjustice - 25 Mar 2007 17:11 GMT
http://tinyurl.com/3yfg4t

RESEARCH PAPER

Year : 2004  |  Volume : 36  |  Issue : 4  |  Page : 226-230

Acute and chronic effects of aspirin on hematological parameters and
hepatic ferritin expression in mice

Merchant MA, Modi Deepak N
Department of Zoology, Wilson College Chowpatty Mumbai - 400 007,
India

Date of Submission 06-May-2004
Date of Decision 03-Jul-2003
Date of Acceptance 09-Feb-2004

Correspondence Address:
Department of Zoology, Wilson College Chowpatty Mumbai - 400 007,
India
deepaknmodi@hotmail.com

» Abstract

OBJECTIVE: To examine the acute and chronic effects of aspirin on
peripheral blood and bone marrow counts and hepatic ferritin
expression in mice. MATERIAL AND METHODS: Adult male albino mice were
orally administered aspirin at a dose of 600 mg/kg thrice daily for 7
days or 150 mg/kg once daily for 6/7 days up to 25 weeks. At the end
of the experiment the red and white blood cell counts, hemoglobin, and
packed cell volume were estimated. Bone marrow films were studied to
estimate the rate of erythropoiesis and leucopoiesis. Expression of
liver ferritin was tested by immunohistochemistry. RESULTS: Acute or
chronic doses of aspirin reduced the RBC count, hemoglobin and other
red cell indices as compared to controls. The WBC counts were higher
in the treated animals as compared to the untreated animals. Both the
treatment regimens appeared to suppress the rate of erythropoiesis in
the marrow, while the rate of leucopoiesis appeared to increase in the
marrow of the treated animals. Aspirin treatment did not significantly
affect the expression of ferritin in the liver. CONCLUSION: Aspirin in
either acute or chronic doses induces anemia associated with
leucocytosis in mice; the anemia does not seem to be induced due to
alterations in iron metabolism. The drug appears to use multiple
targets which affect red cell production and maturation processes.

Who loves ya.
Tom

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