81mg ASA is a dosage very well tolerated by most people. Dosages that are higher used for pain cause the problems. A pilot at risk for clotting needs to manage that possibility quickly until there is time for some of the other stuff to take effect - like the fish oil. A stoke or a PE is nothing to mess around with and vaxxinated people very quickly develop some really nasty malfunctioning of their blood. The Rouleauxo appearance of vaxxinated blood is quite stunning and very alarming.

What I am suggesting is meant to deal with immediate problems that could effect this ability to fly - which is why I am sure he subjected himself to this crap shoot to begin with. Sometimes medications can be useful if managed properly and kept to a minimum. It is not advisable over the long term and you are right, safer alternatives can be found. But, that may not help in the short term. The beauty of ASA is that the antithrombotic effects on platelets can stay for several days. What can be done in order to minimize the possibility of side effects, ASA can be taken before flying. It starts to work within 60 minutes and the platelet effects can last a couple of days. I had several older patients with a prior history of PE that only took ASA when they traveled and were going to be sitting for a length of time because that is usually when the PE happened. Pilots are not only sitting in one spot, they are also in very tight quarters and cannot move much and are at high altitudes. It really scares the crap out of me to think of all those pilots up in the air and they have been vaxxed. Not a good combination.