Garlic...Re: Bloody Nose......Cayenne?
...is the more likely culprit.
I see hundreds/thousands of "blurbs" on the 'net that say cayenne is a "blood thinner", but I see actual evidence that garlic is.
Yes, yes, I realize that allopathic medicine says one must discontinue cayenne before surgery because it's a "blood thinner"...but cayenne internally immediately STOPS bleeding. This doesn't mean cayenne does NOT thin the blood, but it means (as far as I'm concerned), the jury is still out until we all see more solid evidence (or call it a "blood thinner").
Christopher/Schulze (particularly Schulze) had some patients taking TABLESPOONS of high HU cayenne daily...if it were a blood thinner in the truest sense of the term, these people would have developed very serious problems very quickly.
At Natural Medicines Comprehensive Database (a pay/subscription site that is THE most "allopathic" herbal site I've ever seen and frequently villainizes many herbs & actions), they have no official "warning" about blood thinning, only this one study:
http://www.ncbi.nlm.nih.gov/pubmed/7081126?dopt=Abstract
...which shows me that if one takes cayenne, the body adapts to it - although initially it make cause some anti-coagulation effects.
As far as mixing cayenne with any blood thinner, anti-coagulant or anti-platelet drugs, they list their LOWEST warning (level D), and have only two studies (in vitro or animal studies) with any related information, saying this:
"Theoretically, capsicum might increase the effects and adverse effects of antiplatelet drugs". (then you click a letter that shows you what their theoretical 'evidence' may be), and you get these two studies:
http://www.ncbi.nlm.nih.gov/pubmed/1786800?dopt=Abstract
http://www.ncbi.nlm.nih.gov/pubmed/6528310?dopt=Abstract
...neither are actual "in human body" human studies; neither tells us what kind of cayenne was used (sometimes they use 'synthetics' or 'isolated/standardized extracts') and both are 'unnatural pictures'.
This site actually has a 'warning' not to use cayenne with an Ace Inhibitor because of a report that a man rubbed cayenne cream on his leg and started coughing. Coughing is a typical side-effect of Ace Inhibitors and cayenne fumes will sometimes cause us to cough. But that doesn't mean there's a drug interaction!
My point? If they had ANY evidence that Cayenne was true blood thinner, they'd have 'screaming red' drug interaction warnings for cayenne with coumadin (and other blood thinning pharmaceuticals), but they don't have anything but what I've posted above.
Whatever actual 'action' Cayenne has on the blood, it will stop bleeding of all kinds, and people have taken MASSIVE doses daily without reporting any of the adverse effects one would experience when taking massive doses of any true blood thinner.
If you're going to 'limit' something, I say limit the garlic. You took higher doses of the cayenne before and had no nosebleeds, so a lesser dose now isn't likely the culprit. Also remember, your body is acclimating and changing daily, so what 'does something' today, may not have the same outcome tomorrow.
Healthiest of blessings,
Uny