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Call your doctor right away or seek urgent care if you notice: Blood in urine or stool Vomit that looks bloody or dark Coughing up blood Severe headache or confusion Bleeding that does not stop NHS guidance for apixaban lists warning signs such as blood in urine or stool, vomiting blood, coughing blood and sudden severe headache with confusion (NHS, 2026a)

Telomeres are repetitive DNA sequences that help preserve chromosomal stability

Statistical analysis was rigorously designed to assess treatment efficacy and account for missing or incomplete data

You are being treated with the chemotherapy drugs pemetrexed (Alimta) or (Folotyn) pralatrexate, which may help reduce side effects

Some patients report changes in comfort, mobility, or recovery within the first few weeks, but results vary and should not replace diagnosis, imaging, rehab, or medical treatment