An adult patient with a history of congestive heart failure secondary to rheumatic heart disease,

An adult patient with a history of congestive heart failure secondary to rheumatic heart disease, hyperthyroidism, and atrial fibrillation presents to the anticoagulation clinic with reports of easy bruising. They have scattered ecchymoses on their arms and legs but no obvious active bleeding sources. During the interview, the patient stated that they had been feeling forgetful recently and were given a supplement by a friend to “help their brain remember.” Which of the following substances that have been studied for the treatment of memory issues could explain the patient’s current condition? A. Ginkgo biloba O B. Echinacea purpurea C. Garlic (Allium sativum) O D. Ephedra alkaloids

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