Conversation: The conversation between human and AI assistant.
[|Human|] hello,i have thrombophilia that includes mthfr gene heterozygous, pai1 gene 4g/5g homozygous and seronegative antiphospholopidic sindrom. I take clexane for six months and now my doctors needs to put me on oral anticoaglants. Please tell which is the most adecvate one, because on sintrom my thrombosis extended.thank you
[|AI|]  Hello, sintrom and clean are considered equally efficient in preventing thrombosis. Sitcom is usually preferred mostly because clean is much more expensive. Clean is easier to use (if you don't mind the injections) because it has a stable effect on coagulation. Sitcoms effectiveness may vary depending on very many factors and needs close monitoring of the INR. If your INR Chat Doctor.  If your INR gets very high (particularly if >4-5) then you're in danger for bleeding. Sitcom - when monitored - is usually safe enough. You haven't mentioned your sex. Females that may become pregnant should avoid sitcom. If you've got antiphospholipid syn