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Asthana et al

19 However, the combination of very low dose rivaroxaban and low-dose ASA (dual pathway inhibition) is associated with an increased risk of major bleeding (primarily in the gastrointestinal tract) when compared to ASA alone, although no significant increase in fatal/ critical bleeding has been observed
Vitamin B12 plays a crucial role in this equation, especially for those with lower levels due to dietary choices or other health conditions

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Doumas BT, Watson WA, Biggs HG
