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NHS guidance says people can drink alcohol while taking rivaroxaban, but heavy use and binge episodes can make bleeding more likely (NHS, 2024a)

Never freeze the solution, never shake the vial during reconstitution, and never use a vial that shows visible particulates, cloudiness or discoloration

Reported intake or a recent injection is the likely cause, since oral supplements, fortified products, and injected B12 are the most common reasons for a high value

Alternatively, if you experience mild gastric discomfort, you can take both after a light meal but avoid high-fat foods which can slow absorption

Science 288:14251429 Mailand N, Podtelejnikov AV, Groth A, Mann M, Bartek J, Lukas J (2002) Regulation of G2/M events by Cdc25A through phosphorylation-dependent modulation of its stability