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Patients can minimize these risks by using soft toothbrushes and electric razors and avoiding activities with injury risks. A 2022 study published in the Annals of Internal Medicine found apixaban to be the safest blood thinner among direct oral anticoagulants (DOACs), with the lowest risk of gastrointestinal bleeding

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He has a PhD in Literature from the University of New Mexico and is the recipient many awards, including a 1986 NEA Literary Fellowship, the 1987 Vogelstein Foundation Award, and the 1988 Pushcart Prize