Hello. I’m curious what you mean that you still suffer from the clot you had years ago. It didn’t dissolve with the Nattokinase and Serrapeptace? Do you suffer from the medicine they had you on? This concerns me because I’m trying to decide if I should take the xarelto my doctor prescribed for the small clot I got from a vein surgery I recently had or if I should stay on the Nattokinase and Serrapeptace I started two days ago. I felt nauseous and scared this morning because my dr told me I’ll be fine as long as I take xarelto. I also might have taken too much. 3times yesterday and also Vit. E, fish oil and aspirin. I might have overdone it. Your opinion would be appreciated.
While atazanavir/ritonavir does reduce the lamotrigine plasma concentration, no adjustments to the recommended dose-escalation guidelines for LAMICTAL should be necessary solely based on the use of atazanavir/ritonavir. Dose escalation should follow the recommended guidelines for initiating adjunctive therapy with LAMICTAL based on concomitant AED or other concomitant medications (see Tables 1, 2, and 5). In patients already taking maintenance doses of LAMICTAL and not taking glucuronidation inducers, the dose of LAMICTAL may need to be increased if atazanavir/ritonavir is added, or decreased if atazanavir/ritonavir is discontinued [see CLINICAL PHARMACOLOGY ].
Thank you Dr. Lynch, This discussion is very helpful about when to back off, and how to prepare the body to respond the best before adding methylfolate. My son could not tolerate much methylfolate to begin with, so we backed off, added some of your optimal turmeric and optimal start for about 3 weeks, and then proceeded to start with the methylfolate and add slowly from there. He is on about to 3mgs currently. We would love to able to recommend to him a multivitamin, but I am concerned about giving him your multi because it combines niacin and methylfolate. Doesn’t that pose a problem together? Won’t the niacin cancel out the methylfolate in the vitamin as well as the excess methylfolate he already takes? What are your thoughts about this, and can you recommend what to do? Obviously, our son is getting niacin in his diet already, as well, but he really needs a multi. Thanks