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Flaherty S, Strauch P, Maktabi M, Pybus BS, Reichard G, Walker LA, et al

Association of type of oral anticoagulation with risk of bleeding in 45,114 patients with venous thromboembolism during initial and extended treatment-A nationwide register-based study

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That said, there are some potential side effects that can come with astaxanthin when taken in extremely high doses (50mg or more)

However, its formulation and regulatory status are less established than Aqualyx, so practitioners should exercise caution and apply rigorous clinical judgement when incorporating it into practice