Q: I was wondering if you could tell me about asprin, vitamin E 1000iu, and siberian ginseng? Since they are blood thinners would taking all three of them, even at various times, thin the blood too much? Would that cause tiredness and fatigue?

A: Aspirin has anti-platelet and therefore blood thinning effect. Vitamin E also contains similar properties, but in high doses of 800 IU and higher, variation exist. Unfortunately, there is no way to tell what level of vitamin E intake correlates with the degree of blood thinning at this time. Herbs such as ginseng is good for improvement of energy, and its blood thinning effect is not well documented. If you are on blood thinner, you are best to consult your doctor prior to starting any nutritional supplements. If you are not sure, start with small doses of each and work your way up, checking your bleeding time along the way with your doctor.

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