Dr. Lam
I am glad to see this post as it is an important subject. Many who are on coumadin come to me asking for natural substitute, and i like to take this opportunity to alert them that taking food with blood thinning properties will not replace coumadin therapy, becaues the dosage required for food to have the similar thinning properties as coumadin is many times higher than normal supplement dose.
There are numerous natural supplements including vitamin E, fish oil, and gingko that have blood thinning properties but unfortunately, they require very high doses . For example, it has been shown that 5-10 grams of EPA and DHA found in fish oil have the equivalent blood thinning activity as a 325mg aspirin. High doses of these supplements should not be taken without the supervision of a health care professional. Likewise, the use of vitamin E for blood thinning also requires a high dosage in the neighborhood of 2000-3000IU.
Other natural compounds that can help circulation , but not necessarily causes blood thinning, include natto, a compound extracted from fermented soy beans. Natto contains an enzyme called nattokinase which has the ability to dissolve thrombus and prevent clot formation.
Due to the dosage required, proceed only under the approval of your doctor.