Ernest Hare is a 75-year-old retired railroad engineer. He has a history of myocardial infarction, hypertension, congestive heart failure, and anxiety. His medications include warfarin, simvastatin, Lopressor, lorazepam, and Lasix. In addition to these prescription drugs, Mr. Hare takes garlic tablets and St. John's wort.How should Mr. Hare be counseled regarding his vitamin K intake?


Individuals using warfarin are advised to consume similar amounts of vitamin K daily to keep warfarin activity stable. The dietary sources highest in vitamin K are green leafy vegetables such as spinach, kale, Brussels sprouts, collard greens, and mustard greens. A registered dietitian can provide individualized guidance.

Nutritional Science

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