Thank you. I will reach out.Yes, then you make a small adjustment to the dose.
Then after a week or two of the consistency of the new training regime the body adjusts itself and typically I find my INR response returns to where it was before.
The same thing occurs at the end if the season
This becomes clearer with a good recording system. Reach out if you want to show you.
My INR dropped slightly out of range and I made a small adjustment. A few more adjustments over the next few weeks followed. Ultimately, to stay in range I had to up my warfarin dose from 6.5 to 7.5mg/day.
I'm now at 6.75mg per day, which has been my sweet spot for most of my time on warfarin.
Absolutely.This is the benefit and importance of self testing and testing often. If I went 30+ days between tests, my INR could have stayed low for weeks before adjustments were made, which is not a good thing. But, weekly testing allowed me to make little tweeks in a timely manner and stay in range. This enabled me to limit my time out of range to just a few days and stay mostly out of the danger zone.
A little more often than once per week. I normally test once per week, but when my INR seemed to be moving, I was testing probably every 4 or 5 days, until it stabilized.Thanks for all of your info Chuck. I'm finding the same thing with increasing my cardio exercise. How often were you testing when you went from 6.5 to 7.5 mg?
As indicated above, I test about once a week. If I'm stable for several weeks, I sometimes will let it go 9 or 10 days before testing. But, I try not to get complacent like that and try to stick to weekly as the ideal. If I am out of range, I test more often. I might test again after 2 to 4 days, depending on a view variables. Ideally, I like to make my adjustments when I get to the upper or lower edge of my range, rather than wait until I go out of range. It also depends whether I am high or low. If I get a reading of 1.8, I'm more likely to test after about 2 days, to make sure that my adjustment got things going in the right direction. On the other hand, if I find myself at 3.2, I am not as concerned about it, and might adjust, then wait 4-5 days before re-testing.How many times per week are you testing at your sweet spot? When you go out of range, how often do you test at that time?
How are you getting 0.25 mg
this is of course easier if your dose is something with a longer half life (warfarin) and your dose isn't something low like 1.25mgThen I dose 6.5mg one day, then 7mg the next day and continue alternating this way through the week. This brings me to 6.75mg/day.
I am a lifelong runner. However, I will say that at 60 (years old) my miles are 1/3 to 1/2 what they were at 40.
Interesting data. I'm just curious, what's the different in the typical daily miles run in these years?My average this year runs 3.1 and in 2006 it was 2.6.
indeed, and while we're measuring here I'll share that when I shared this graph with my cardiologist his first words were "wow, you're really stable"I noticed that you, like me, need the full 1.0 spread (2.5-3.5 INR) to be considered "well managed".
As you might guess, it's pretty varied! Runners tend to think in terms of miles/week. When I was younger I'd run 40-60 miles/week all year round. I might peak at 70 during marathon training (spring/summer). Short days were 5 miles and long runs would reach 20.Interesting data. I'm just curious, what's the different in the typical daily miles run in these years?
Thanks, the weekly averages are perfectly fine for me. Was wondering about how much of a workout you did. (If indeed the exercise was the sole explanation for the INR difference... in which case I doubt the effect is relevant for the vast majority of people.)As you might guess, it's pretty varied! Runners tend to think in terms of miles/week. When I was younger I'd run 40-60 miles/week all year round.
It's more than what I've ever run, to be honest Seems like quite a good workout!These days I run 20-30 miles per week. 3-5 per day and my long runs seldom exceed 10 miles.