fish oil as blood thinner - question - Mothering Forums

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#1 of 8 Old 02-23-2007, 04:39 PM - Thread Starter
 
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I have been diagnosed with an MTHFR mutation (blood-clotting disorder). The dr feels that it did not cause my two miscarriages and he said I don't need any special medication or anything. But since I'm very nervous about this pg I did some research and decided to take some extra b vitamins (because it can cause a deficiency of these vits), and also fish oil because it's a natural blood-thinner (and full of good DHA too!).

Well, a couple of weeks ago I started spotting and I've been spotting since then. I assumed the worst (another imminent miscarriage) and stopped taking the fish oil supplements in case they would cause too much blood loss. Then yesterday I had an ultrasound. Baby is fine, and apparently I have some blood pooled behind the placenta which is just making it's way out a bit at a time (this is somewhat common and not a worry).

So my question is: should I start up with my fish oil supplements again? I have no idea if the blood-thinning properties would cause a problem (ie. extra/too much bleeding - perhaps miscarriage???). In a way I want to take them "just in case" to prevent a possible blood clot due to the MTHFR, but at the same time I'm not sure if it's a good idea.

Any thoughts?

Kate, mom to 7 year old Djuna and 4 yr old Alden. Missing our good friend Hal the cat who died June 2, 2010

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#2 of 8 Old 02-23-2007, 04:57 PM
 
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Kate, Is your Dr. a regular OB? have you seen a hematologist?

MTHFR can indeed cause miscarriages, still birth, etc.

I think most women with MTHFR are on a blood thinner during pregnancy.

I never tested positive for any of the blood clotting factors, but because of my past history (no miscarriages though), they have me on a blood thinner during pregnancy too.
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#3 of 8 Old 02-23-2007, 05:04 PM - Thread Starter
 
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The dr I saw was a specialist at the Thrombosis clinic. According to him my homocysteine levels were normal as were my folic acid, B6 and B12 levels. I am also heterozygous which is less likely to cause miscarriages. Because of that and since my two miscarriages were first trimester losses he felt it very unlikely that the MTHFR caused the miscarriages.

From my research it seems like the treatment for MTHFR varies greatly from dr to dr. From daily injections of heparin to only vitamin supplementation to nothing at all. There's just still so much they don't know about it.

But, like I said, I didn't feel comfortable doing NOTHING about it, so that's why I've been taking the extra folic acid and Vit B6 and B12, as well as the fish oil. I'm just wondering if the fish oil will be safe to take if I'm actually spotting right now.

Kate, mom to 7 year old Djuna and 4 yr old Alden. Missing our good friend Hal the cat who died June 2, 2010

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#4 of 8 Old 02-24-2007, 10:22 AM
 
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I don't know much about the MTHFR mutation, but could you maybe just cut back the doses you were taking? So you would still be taking some and getting the benefit, but then again not taking too much as to cause more bleeding.

Or maybe could you wait till all the pooled blood finally comes out, then start back up on the supplements. Then you could monitor and see if any more bleeding occurs.

Those are just the first thoughts that came to my mind. Again, I don't know much about any of this, so take my advice with a grain of salt.

Always thinking about you mama.

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#5 of 8 Old 02-24-2007, 12:53 PM
 
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I am homozygous for the MTHFR mutation (c677) allele, and as you know, my son was stillborn at 33 weeks. I have never had a miscarriage and have a healthy 2 year old. When Frankie was born, the cord was around his body 5 times, so they were pretty confident that it was a cord accident. After doing my full pp workup, they found out that I had this mutation. I have seen many specialists including a well known hematologist who have all told me that I do not need to be on Lovenox with my current pregnancy or Aspirin (because my homocystein levels are normal). I take extra vitamins and was taking the aspirin against their advise (to ease my fears). All the doctors warned me that women who take aspirin bleed more during pregnancy. So when I started spotting in the beginning of this pregnancy I stopped the aspirin all together. Everyone felt that since there is no history of thrombosis in me or my family, and that my homocysteine is normal, I don't need to be on any thinners. Basically everyone agrees that the lovenox could cause more harm than good in my pregnacny. Believe me, I wil do whatever it takes to prevent anything like this from happening again, but I don't want to cause problems by taking medications that I don't need. And when I started spotting (I never spotted in any other pregnancy), I was pretty much convinced to stop the aspirin. I don't know if it helps at all, but that is my situation.
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#6 of 8 Old 02-24-2007, 04:04 PM
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I don't think that the blood-thinning properties offish oil are very strong, and those Omega 3s are supposed to be very good for the baby. It doesn't seem to me there is any reason for you not to take them, especially if you doctor didn't tell you to stop.
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#7 of 8 Old 02-25-2007, 02:17 PM
 
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Hi Kate!

I also have clotting genes - hetero Factor V Leiden and hetero MTHFR. I am currently pregnant with my first child and am also on daily Fragmin injections as well as baby aspirin. I have a history of DVT (deep vein thrombosis).

I was told varying opinions from 2 different hemotologists as to whether or not FVL or MTHFR actually cause miscarriages, stillbirths etc. After doing my own research and joining some great forums on this subject, I strongly believe there is a link. There are many women who will agree.

A lot of women choose to not take any blood thinners while pregnant. For me that's a risk I can't take because of medical history. I am actually really surprised that after 2 miscarriages and the MTHFR diagnosis that they don't have you on baby aspirin at least throughout your entire pregnancy. Fish oil is great, but it won't thin your blood to the level that is needed on it's own.

This is because homocysteine levels can fluctuate throughout your life, hetero MTHFR or not, pregnant or not, depending on diet, vitamins, etc. So just because you tested normally then, doesn't mean that when you're pregnant they won't go higher. There are many mixed opinions on hetero MTHFR and whether or not it actually makes a difference in a successful pregnancy.

Every single night this is what I take:

- 1 prenatal
- 1 Omega 3 (pharmeceutical grade, lead & toxin free)
- 1 B6
- 1, B12
- 1 baby aspirin (81mg)
- 1 calcium with magnesium
- 3 mg total of extra folic acid

I also drink purple grape juice and eat garlic when I can. Every morning I do my Fragmin injection.

I am attaching some links to some great resources for this subject, including a thread on MDC about clotting disorders.

http://www.fvleiden.org/ask/51.html

http://health.groups.yahoo.com/group/FVL-PG/

http://mthfr.net/

http://www.mothering.com/discussions...d.php?t=351760

Hope this helps!

Alex
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#8 of 8 Old 02-26-2007, 01:24 PM - Thread Starter
 
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Thank you all for your imput and thanks for the links Alex! I guess I need to do some more research before I make up my mind. So far I haven't been taking the fish oil (since I'm still spotting). Perhaps what I'll do is call my dr to see if she can get me in for another homocyteine level test just to see where it's at. I'd feel a lot better (for so many reasons) if this stupid spotting would just stop. Sigh...

Kate, mom to 7 year old Djuna and 4 yr old Alden. Missing our good friend Hal the cat who died June 2, 2010

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