Aspirin No Longer Recommended As Preventative for Most Adults Over 60

[danieltx]

I'd like to know what our science and medical minds here think of this and how it applies to bodybuilders - https://www.yahoo.com/gma/aspirin-no-longer-recommended-prevent-150011569.html

For years, doctors recommended people in their 50s start taking baby aspirin every day to protect against heart attacks and stroke. But in recent years, with new evidence of the possible harm of daily aspirin, health experts shifted those recommendations.

In major new guidance, an influential physician task force no longer recommends daily aspirin to prevent a first heart attack or stroke among people 60 and older. Meanwhile, the new guidance said people 40 to 59 should only take it if they have a high risk of cardiovascular disease, and in consultation with a doctor. There is little benefit in continuing aspirin beyond the age of 75 years old, experts concluded.

The new guidance comes from the United States Preventive Services Task Force (USPSTF), an influential physician group that helps guide medical best practices.

Heart disease and stroke are the leading causes of death in the United States, accounting for more than one in four deaths. While daily aspirin use has been shown to lower the chance of having a first heart attack or stroke, it can also increase the risk for bleeding in the brain, stomach and intestines. Although the absolute risk of a bleeding event is low, the risk increases with age.

"Based on current evidence, the task force recommends against people 60 and older starting to take aspirin to prevent a first heart attack or stroke," task force vice chair Dr. Michael Barry, professor of Medicine at Massachusetts General Hospital, told ABC News. "Because the chance of internal bleeding increases with age, the potential harms of aspirin use cancel out the benefits in this age group."

"People who are 40 to 59 years old and don’t have a history of cardiovascular disease but are at higher risk may benefit from starting to take aspirin to prevent a first heart attack or stroke," task force member Dr. John Wong, interim Chief Scientific Officer and Professor of Medicine at Tufts Medical Center, told ABC News. "It’s important that they decide together with their healthcare professional if starting aspirin is right for them because daily aspirin does come with possible serious harms."

"It is important for the public to understand that for the vast majority of Americans without pre-existing heart disease, aspirin does not provide a net benefit. The harms are approximately equal to any benefits. The USPSTF is just catching up with this widely accepted scientific viewpoint. For nearly 20 years the FDA has advised against routine use of aspirin for prevention in patients without heart disease," Dr. Steven Nissen, cardiologist at the Cleveland Clinic, told ABC News.

The new recommendations were aimed at people who have not yet started taking a daily aspirin. The panel of experts did not issue guidance for people who are already taking a daily aspirin, and the updated news does not necessarily mean people should stop taking it if prescribed by a doctor.

"We want to emphasize that these recommendations are focused on starting aspirin to prevent a first heart attack or stroke. Anyone who already takes aspirin and has questions about it should speak with their healthcare professional," Wong said.

The new guidelines do not change for people who have had a heart attack, stroke or other major cardiovascular issue. The recommendation for using aspirin to protect them from a second event remains strong.

Recommendations on daily aspirin to prevent disease have shifted in recent years. In 2016, the preventive services task force recommended people in their 50s at risk for heart disease take baby aspirin to prevent both cardiovascular disease and colon cancer. But updated recommendations based on additional research found benefits may not outweigh the risk, concluding the best colon cancer prevention is routine screening beginning at the age of 45.

 

[iron lifter]

5g of fish oil and or curcumin may just be as good for anticoagulation. i also hear baby aspirin taken 2-3 times a week is enough due to how long it exerts its affects on the platelets.

 

[Kr0m]

5g of fish oil and or curcumin may just be as good for anticoagulation. i also hear baby aspirin taken 2-3 times a week is enough due to how long it exerts its affects on the platelets.

more expensive tho

 

[Knight9]

Nattokinase is a great option for breaking down clots and basically filtering blood.

However, I do not believe it has any effect on the aggregation of sticky platelets.

 

[Knight9]

Also Vitamin K2.. (as long as you aren't on coumadin). 180-360mcg/d

 

[qbkilla]

I think it's wise. Crazy they reccomded a drug as "preventative" in the first place rather than a last resort. Seems like they are starting to reign in the scripts for opioids/ painkillers and BP meds. The pharmaceutical industry is about profit but doctors should know better. While I was at the gym I saw 3 commercials for various drugs with the potential side effects listed at the bottom in tiny little font lol.

Who Requires Medication Under New Hypertension Guidelines?

www.uspharmacist.com

 

[Ruhlfreak55]

They're claiming bleeding risk cancels it out? Not much was said in there about what these "harms" of daily aspirin are. My blood is so thick in general I don't see any reason that my bleeding risk would increase by being slightly thinned by the aspirin. I'll continue my regimen. Of course I'm not in that older demographic they're removing anyway.

 

[buck]

I quit taking aspirin a while ago. I take a few supplements that can thin the blood. Aspirin's anti-cancer benifits could still be a reason to take it. If i remember the early studies with aspirin were with the 325mg dose. And then baby aspirin became popular but i never saw were that low a dose was worth it, even though it became the in thing to do.

 

[Mufasa123]

They're claiming bleeding risk cancels it out? Not much was said in there about what these "harms" of daily aspirin are. My blood is so thick in general I don't see any reason that my bleeding risk would increase by being slightly thinned by the aspirin. I'll continue my regimen. Of course I'm not in that older demographic they're removing anyway.

My rbc and crit are always top of range. I get the general guidance but I figure similar to you.

 

[MR. BMJ]

With baby aspirin being so cheap, i'll just take one ED to EOD until more research is in. It also has other benefits against colon cancer, etc. I do like K2 and fish oil as well. I d/c aspirin if am going to use nattokinase.

 

[Knight9]

I also forgot Pycnogenol.

 

[Fa Seeshus]

I quit taking aspirin a while ago. I take a few supplements that can thin the blood. Aspirin's anti-cancer benifits could still be a reason to take it. If i remember the early studies with aspirin were with the 325mg dose. And then baby aspirin became popular but i never saw were that low a dose was worth it, even though it became the in thing to do.

325 is what we give right away when someone is having chest pain and there is any possibility that it might be a serious cardiac event... Don't think it was ever the recommended daily dose.

 

[buck]

325 is what we give right away when someone is having chest pain and there is any possibility that it might be a serious cardiac event... Don't think it was ever the recommended daily dose.

True. But a few decades ago when they noticed that people that took aspirin and seemed to get less heart attacks were taking 325mg tablets from my reading. Then people were told baby aspirin should do as well. I saw some studies a few years ago that brought this up. Can't say i put a lot of time into looking it up. I followed the herd till i stopped.

 

[LK3]

im not sure that this is the answer you are going for but when you take hormones it adds another layer of risk for clotting and thickening. things like diet and body weight and muscularity probably arent helping the entire situation.

smoking can also raise htc. for sure applies to tobacco while not sure smoking anything probaly adds a layer of risk.

family history and genetic predisposition could be another layer of risk.

the article is talking about average americans.

pretty sure the op is not in that catagory. lol
i mean that in a nice way.

probably ppl here have reasons to take thinning agents like asprin, cialis, curc and whatever else can be found as thats all not things that the average american is doing daily.

 

[Reno911]

Just an FYI but I always keep a bottle of chewable aspirin in the house. I only use my enteric coated 81mg daily but I keep the chewable around in case of a cardiac event or possible stroke. A friend of mine had a "gripper" and they were giving him nitro and chewable in the ambulance. It got him to the hospital with a 100% block of the LAD.

 

[jaxino]

I prefer baby aspirin (named Cardio aspirin 81mg in my country) it opens in your intestines instead of stomach if i remember well.

The benefits are mainly when you have high platelets.

It also have pro metabolic effects because it's a strong methylator and improves a lot of other process in our body.

I follow Ray Peat nutrition wise, i don't use any Omega-3, i don't think they are good for our body at all. None noticed that we feed animals with omegas when we want to make them grow fast (basically make them fat).

 

[marssel]

5g of fish oil and or curcumin may just be as good for anticoagulation. i also hear baby aspirin taken 2-3 times a week is enough due to how long it exerts its affects on the platelets.

Fish oil, vitamin E (preferably mixed tocopheriols), and turmeric is a little better but you’re not wrong and substitute the aspirin for white willow bark