Hi ,

How are you doing today?

Daily "baby aspirin" for prevention is no longer a recommended practice. For years, people took it to prevent a first heart attack or stroke, but studies from 2018 (ARRIVE, ASPREE, and ASCEND) showed it doesn't do much good for healthy folks.

Big downside: It actually increases your risk of serious bleeding, especially in your stomach or even your brain!

Primary vs. Secondary Prevention:

• Primary is stopping a first event (heart attack, stroke). Aspirin generally isn't recommended for this anymore.
• Secondary prevention is preventing another event if you have already had heart disease, a heart attack, a stroke, or a stent. In these cases, aspirin remains extremely important.

Major health groups agree: Organizations such as the Canadian Cardiovascular Society, the U.S. Preventive Services Task Force, and the American Heart Association have all revised their advice.

Who is more likely to bleed from aspirin?

• If you've had stomach ulcers or bleeding before.
• If you're over 60.
• If you're taking other blood thinners or pain relievers, such as ibuprofen.
• If your high blood pressure isn't under control.
• If you drink a lot of alcohol.

People are still taking it for the wrong reasons. Aspirin is readily available over the counter, and outdated advice continues to circulate online and among well-meaning friends.

Don't stop on your own! If you're currently taking aspirin, consult your doctor before discontinuing. They'll help you figure out what is best based on your health.

Bottom line: Aspirin is a powerful medication, but it comes with risks. Use it only when indicated.

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Best regards,

Shabnam

Dr. Shabnam Das Kar, MD

Functional Medicine Doctor

Tiny Habits Coach

Email: info@drkarmd.com

Reference

Bainey, Kevin R., et al. "Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology 2023 focused update of the guidelines for the use of antiplatelet therapy." Canadian Journal of Cardiology 40.2 (2024): 160-181.