In children, Xareltos dosage is determined by body weight in kilograms (kg). Like you I do not have AF but clots due to damaged/varicose veins. Abuse of Xarelto increases the odds for a negative reaction during withdrawal and a potentially extended timeline. The reason youre taking Xarelto will determine how long youll take the drug. Xarelto Interactions: Alcohol, Medications, and Others, Side Effects of Xarelto: What You Need to Know, accessdata.fda.gov/drugsatfda_docs/label/2022/022406Orig1s039,202439Orig1s038correctedlbl.pdf, Using Compression Stockings for Deep Vein Thrombosis, Everything You Need to Know About Deep Vein Thrombosis (DVT) and Flying. * Below are the recommended dosages for Xareltos uses in children. what was the dose of aspirin that was studied? Also my eyes feel clear now. Editorial Staff, American Addiction Centers. However, I am on a blood thinner, not, Warfarin as I did not want to go on that particular drug, but was, Advised to go on one of the newer drugs Apixaban. For my, this drug is a killer. Started Xarelto last night 20 mg once a day. As people age, their metabolism slows down, and the Xarelto half life is then extended to 1113 hours for people between the ages of 60 and 76, meaning Xarelto withdrawal would begin within 24 hours of stopping the drug. I have had no side effects from this drug. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. Overdose can cause excessive bleeding. To learn more, see the Side effect specifics section below. Its unlikely. Notify your physician immediately. Generally, youll separate your morning and evening doses by about 12 hours. 70 years old . Abuse of the drug can create even more potential complications during detox and withdrawal. Because it can help remove deposits, such as those formed by excess calcium, plus fight inflammation, serrepeptase may also be useful in stroke prevention. And an epidural hematoma is a buildup of blood around your brain. This drug is awful", For Prevention of Thromboembolism in Atrial Fibrillation "I was put on Xeralto as an alternative to Warfarin four days before my colonoscopy and endoscopy, stopped one day ahead of the procedures, and resumed 3 days after. My vision was blurred. If the side effects seem life threatening or you think youre having a medical emergency, immediately call 911 or your local emergency number. I felt unprotected and worried the whole time about another clot. But after resereaching, they say there's not a way to really measure how well natural blood thinners are working. If your abdominal pain is mild and likely not a symptom of bleeding, your doctor may suggest treatments to relieve this side effect. Symptoms of a blood clot vary depending on the location of the clot and may include: For more information about this warning, see Xareltos drug label information. It is just a blood thinner. No more blood in stool. My cardiologist tells me it is perfectly safe but all I read even from Xarelto tells me it is not. But if the side effects last for longer than that, bother you, or become severe, be sure to talk with your doctor or pharmacist. First thing I did last night was drink two glasses of cranberry juice. You should not stop taking Xarelto unless your doctor instructs you to do so. PE is a blood clot in the lungs. For conditions that require taking Xarelto twice per day, you should take one dose in the morning and one in the evening. If your child takes Xarelto twice per day and they miss a morning dose, they should take the dose right away. Your INR , when you are taking Warfarin, is affected by some foods and supplements( lists availabe online), which I am still researching. Blood clots forming while off Xarelto are a definite concern. You should always consult your doctor or another healthcare professional before taking any medication. If youre breastfeeding, be sure to talk with your doctor before you take Xarelto. :-). Xarelto is specifically approved for use in adults to: Xarelto is also approved for use in children to: Like other drugs, Xarelto can cause side effects. (Therapeutic refers to the amount of drug thats needed to treat your condition.) Your reason for taking Xarelto and the strength youre prescribed will help determine how you take the drug. Uses: Treats and prevents blood clots, which lowers the risk of stroke, deep vein thrombosis (DVT), pulmonary embolism (PE), heart attack, and similar conditions. Common sweetener erythritol tied to higher risk of stroke and heart attack, Gout: How metabolic syndrome may increase the risk, A new therapeutic target for the prevention of heart failure due to aortic stenosis, Skipping breakfast and fasting may compromise the immune system, Everything you need to know about random bruising, How to get rid of a bruise: Home remedies. Withdrawal symptoms for a medication may begin when the drug stops being active in the bloodstream. Finally came down to 85. It is utilized to prevent blood clots and in specific cases, patients that are bedridden for an extended period where known to benefit. There are no cures being developed in the US for Afib, or anything else. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Addiction is a treatable disease. Read on to learn about potential common, mild, and serious side effects. About rivaroxaban Who can and cannot take it How and when to take it Side effects Pregnancy, breastfeeding and fertility Taking rivaroxaban with other medicines and herbal supplements Common questions A boxed warning alerts doctors and patients about drug effects that may be dangerous. Xarelto can be prescribed to help prevent blood clots in children ages 2 years and older who have had the Fontan procedure. 9. Chewed nails suggest anxiety, buffed nails hint at good grooming, stained nails identify a smoker, blue nails connote oxygen deprivation, and spoon-shaped nails often mean that a patient needs more vitamin B 12. Never had a ear issue in my life before this Drug. 13 after stopping Xarelto: Emotional disturbances, such as depression, restlessness, anxiety, possible suicidal ideations, sleep difficulties, trouble concentrating, and problems thinking clearly, can become evident. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Got worse everyday. Xarelto was created as a replacement of warfarin as a none needing blood monitoring medication for Atrial fibrillation. Stop Eliquis 1- 2 days before medical procedures. Dabigatran seems to increase heart attack risk somewhat. Nosebleeds that happen often Unusual bleeding from gums Menstrual bleeding that is heavier than normal, or vaginal bleeding Bleeding that is severe or you cannot control Red, pink, or brown urine Bright red or black stools (looks like tar) Cough up blood or blood clots Vomit blood or your vomit looks like "coffee grounds" The dosage of Xarelto youre prescribed may depend on several factors. That I pushed for it. Before your doctor prescribes Xarelto, theyll likely give you kidney function tests. I live a very healthy lifestyle now with my diet. These contain details about the various patients treated with medications, their doses, illnesses and causes of death. A 53-year-old female asked: Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. B12 is not mentioned in relation to Warfarin in anything I have seen yet. This was a somewhat common side effect in people taking Xarelto in clinical trials. Besides talking with your doctor, you can do some research on your own. Stop taking this drug and everything cleared up in a week. I see that now. What Is Superior Sagittal Sinus (SSS) Thrombosis? So weak I could hardly walk. No, hair loss wasnt reported as a side effect in people taking Xarelto in clinical trials. But its important to be aware that Xarelto can cause bleeding anywhere in your body, including internal bleeding. It alerts doctors and patients about drug effects that may be dangerous. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.andexxa.com/prescribing-information.html, https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/022406Orig1s039,202439Orig1s038correctedlbl.pdf. Minor hallucinations when closing eyes. After Spitting up blood & swollen tongue, discontinued. If your doctor determines that its necessary for you to receive a spinal or epidural injection while youre taking Xarelto, theyll monitor you for symptoms of bleeding around your brain or spine. They should not take two doses in one day to make up for a missed dose. Breastfeeding. It is considered a rare form of stroke and requires immediate medical attention at, Jugular vein thrombosis happens when a blood clot restricts blood flow in one of the jugular veins. Soon after having my second case of Blood clots and being placed on Xarelto I was diagnosed with Hyperthyroid. You should always consult your doctor or another healthcare professional before taking any medication. There are many things people can eat and drink that may help keep the blood thin and reduce the chances of developing dangerous clots. Its used to treat severe, uncontrolled, or life threatening bleeding in people taking drugs such as Xarelto. It alerts doctors and patients about drug effects that may be dangerous. And of course as with all of american health care you will become a great cash cow for the American medical industry. In a specialized medical detox facility, a persons vital signs can be constantly monitored to keep an eye on potential cardiovascular issues or potential blood clotting as well as other possible complications. Last medically reviewed on October 17, 2022, What are the possible causes of random bruising? Brand name: Xarelto. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource. You would start Xarelto after at least 6 months of using an anticoagulant drug (blood thinner). Then I developed arm and leg pain and some gum bleeding. After discussing things through with family in came off the tablets early April. ", For Deep Vein Thrombosis "Doc put me on this after finding a small blood clot in calf after TKR. I was having episodes every 5-7 days, lasting 24hrs. Learn more here. Xarelto has a boxed warning for risk of spinal or epidural hematoma. All it does is protect your provider if you have a blood clot anyway. All rights reserved. Also short of breath and Ears Started Ringing (tinnitus) and is driving me nuts. I felt like a dog scratching non stop. It can be a life threatening, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Although this side effect wasnt reported in clinical trials, allergic reaction has been reported in people taking Xarelto since the drug was approved. Try our Symptom Checker Got any other symptoms? I also take amiodarone for the Atrial fibrillaiton. In people who are hospitalized for an illness, Xarelto can be used to prevent venous thromboembolism (VTE), a type of blood clot in a deep vein. Xarelto may be tapered off slowly to reduce the risks associated with stopping the drug cold turkey. A Xarelto taper will slowly lower the dosage of the drug in a controlled manner over a period of time to minimize the impact of withdrawal. Xarelto needs to be carefully weaned out of the bodyunder the supervision and instruction of a trained medical professional, which can be accomplished through a medical detox program. I've had two cases of PE in total due to taking birth control. If you receive certain injections while taking Xarelto, theres a risk of bleeding around your spine or brain. Also a, Doctor friend of mine is also on this drug and also recommended. If you have questions about side effects after you stop taking Xarelto, talk with your doctor or pharmacist. The NHS won't do it as I am too fat and I guess they consider it a waste of resources :-(. As a result, medical detox is a highly beneficial start to an addiction treatment program. Although they are not telling me, I believe the lady doing my heart ultrasound gave away that one side of my heart had been damaged. Xarelto may cause both mild and severe bleeding. Your doctor will give you specific dates for when to stop taking Xarelto and when to start taking it again after your procedure. For more information, you can refer to Xareltos prescribing information. Wonder if this medicine could cause this. Blood pressure down to 119/66. I have blood in my stool, shortness of breath rash stomach pain, blood pressure spikes, But hey no stroke, just no life. This side effect was somewhat common in people taking Xarelto in clinical trials. Fought with the doctor who was very upset when I stopped taking. In a clinical trial, people who took the 20-milligram (mg) strength of Xarelto reported side effects such as: In this trial, people took Xarelto to treat either deep vein thrombosis or pulmonary embolism, which are types of blood clots. Its never too late to reach out for help. If you have any of the above symptoms while taking Xarelto, talk with your doctor immediately. He died in June. BTW, AF is a condition where the medicine is short with the knowledge. ", For Atrial Fibrillation "81 year old woman using 20 Xarelto my side effects are nauseous, urinary issues, severely bleeding hemorrhoids, every time even with soft movements. Afib is back again but not all the time. These hematomas can cause brain damage or paralysis (an inability to move parts of the body), either of which can be long lasting or permanent. Rushed to ER with heart rate of 152. To learn more about Xarelto, see this in-depth article. But when using Xarelto, always take the dosage that your doctor prescribes. But Xarelto may be prescribed during pregnancy if your doctor determines that the drugs benefits outweigh its risks. Be sure to talk with your doctor about your health history before you take Xarelto. If you develop bad or serious side effects while taking Xarelto, call your doctor right away. The list below may not include all possible reported serious side effects of the drug. Up-to-date information covering side effects of drugs, lawsuits, and health advice. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Put on Xarelto blood thinner as having a stroke is far worse if you survive it than any side effects. Fatigue (lack of energy) is a possible side effect of Xarelto. Children taking Xarelto for venous thromboembolism (VTE) should take their doses with food. Symptoms of excessive bleeding can include: Call your doctor right away if you think youve taken too much Xarelto. Is the ketogenic diet right for autoimmune conditions? They can help answer any questions you have about side effects from taking the drug. For children who have trouble swallowing tablets, doctors may prescribe Xarelto liquid suspension (mixture). Here are some examples of questions that you may want to ask your doctor: To learn more about Xarelto, see these articles: To get information on different conditions and tips for improving your health, subscribe to any of Healthlines newsletters. This is reliably the case, so it seems logical that you can prevent blood clots ( if, like me there is a removable underlying cause) by ensuring you eat/take those things that keep your INR low. I was on this drug for almost 8 years. Blood pressure is still abnormal for me at 140/80. Or they might prescribe a lower dosage for you. Your doctor will ultimately prescribe the lowest dosage that provides the desired effect. Healthline Media does not provide medical advice, diagnosis, or treatment. I hope this info helps you. 08-16-2022 06:37 PM Going off of any of the aforementioned medications. Most of the time, a rivaroxaban detox will last between three to five days. Would appreciate any input one way or the other. In clinical trials, people taking Xarelto didnt report weight gain as a side effect. It has a very rapid exit time for leaving your body. I experienced terrible symptoms for about three months. The Xeralto has no way to reverse bleeding, and if it is discontinued, there is an increased chance for a stroke. DVT is a blood clot in a deep vein, usually in the thigh or lower leg. For details, see the Side effect specifics section above. Thank. I had been on and off this med for about a year and a half. Xarelto is a prescription medication thats used for the following purposes in adults: This article describes the dosages of Xarelto, including its forms, strengths, and how to take the drug. It has been 4 days since I stopped and all the above symptoms went away, thank goodness.". You can learn more about how we ensure our content is accurate and current by reading our. Now my arms are beginning to feel the same pain, Over 20 percent of the American adult population has misused a prescription drug at least once in their lifetime, theNational Institute on Drug Abuse(NIDA) publishes, and this kind of misuse might occur with rivaroxaban. Can I crush them and mix them with food or a drink? My father had 11 strokes in 5 years before he died at age 58. We avoid using tertiary references. ", For Atrial Fibrillation "Used xarelto and it caused A fib. Of course,unless you can monitor yourself frequently you would have no hope of doing anything to help yourself. It is used to treat and prevent blood clot formation in conditions such as deep vein thrombosis (DVT, blood clots that form in the deep veins of the body, usually in the thigh or lower leg), pulmonary embolism (PE, blood clots that block one or more arteries in the lungs), and atrial fibrillation (AFib, irregular heart rhythm that may increase . It's approved by the Food and Drug Administration (FDA) to prevent and treat certain blood clots. Learn more about this type of blood clot. Looking forward to not seeing my doctor to draw blood every month. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Stay away from it. I am considering self monitoring my INR, by buying the machine to do it. +0 Related topics dosage, xarelto, drug Further information Xarelto uses and safety info If you have questions about potential hair loss while taking Xarelto, talk with your doctor. Studies of Xarelto didnt look at the differences in side effects between higher and lower dosages of the drug. My doctor switched me to Eliquis which she said had less side effects and I will soon see if the arm and leg pain disappear. Stay away from it. Xarelto can be used to treat deep vein thrombosis (DVT) and pulmonary embolism (PE). Otherwise, children are typically prescribed Xarelto suspension. If your doctor recommends Xarelto for you, they will prescribe the dosage thats right for you. If you have questions about what these cookies and tags are tracking, please take a moment to review our, Xarelto lawsuits grow in number actual stories from real people, Dangers and risks associated with the Novel Oral Anticoagulants (NOACs), Xarelto side effects: liver injuries and damage, Stopping Xarelto Suddenly Could Clot Your Brain. Take Xarelto exactly as prescribed. If you have questions about how to take Xarelto, talk with your doctor. This website uses cookies to improve your experience while you navigate through the website. Find out how rivaroxaban helps to prevent blood clots, reduces the risk of heart attacks and stroke, and how to take it. Examples of these conditions include peripheral artery disease and coronary artery disease. Been off this now 6 days and almost free of side effects. You can also talk with your doctor. Emotional issues may potentially linger. I don't think I want to risk being on Xarelto the rest of my life, especially since there havebeen cases of interal bleeding, no way of rapid reversal (like warfarin)and also the factthere's not a lot of studies on the effects of taking Xarelto long term. See Risk of spinal or epidural hematoma below for details. Statistics over the number of blood clots for every 1,000 patients during and after treatment with Xarelto demonstrated a significant increase in the number of blood clots in patients soon after the patients stopped taking the medicine. Following a hip replacement, youll likely take it for 35 days. Website is sponsored by Meds News LLC. Xarelto comes as a tablet and a liquid suspension (mixture) that you swallow. Note: After the Food and Drug Administration (FDA) approves a drug, it tracks side effects of the medication. Do I have any health conditions that could affect my dosage of Xarelto? A spinal hematoma is a buildup of blood around your spine. Mixing Xarelto with other medications or alcohol can increase the odds for a negative reaction as well. I have also read that low B12 can predispose to abnormal blood clotting and I am pursuing this line of enquiry too. For more information, see Boxed warnings at the beginning of this article. (This is a type of open-heart surgery for congenital heart disease.) Switching from Eliquis to Xarelto: What do I need to know? 3. However, be sure to take the drug for the amount of time that your doctor recommends. Patient is a UK registered trade mark. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in
These cookies do not store any personal information. Some of the damage done by Xarelto abuse may not be completely reversible. A blood clot in the brain can result in paralysis of the body and can be lethal. These include: Xarelto comes as a tablet and a liquid suspension (mixture). A very serious allergic reaction to this drug is rare. Its not likely. If youre taking the 2.5-mg or 10-mg Xarelto tablets, you can take your dose with or without food. My heart rate has returned to normal of 64. Will I need any blood tests to determine my dosage of Xarelto. Most people who reported bleeding in clinical trials experienced mild bleeding. I'll have weeks when I feel fluish, sore knees and legs, headache, feel pulse pumping so hard, my whole body seems to move, I feel buzzy inside, like every cell in my body is inflamed, eyes are still blood shot. Stomach is still painful. Yes. I am on Rivaroxiban, switched form Apixaban because of pain in my varicose veins. Talk with your doctor about your risk for bleeding while taking Xarelto. Youll mix the crushed tablet into applesauce or water to make it easier to take. See the Side effect specifics section just below for more information about this. Doctor said today I can get off it. However, drinking large amounts of alcohol while taking Xarelto can increase your risk for bleeding, especially in your stomach or digestive tract. Posted
These side effects may be temporary, lasting for a few days or weeks. If you have a condition that affects your arteries or heart, stopping Xarelto also increases your risk for heart attack and stroke. There are several factors that might influence the duration and the severity of rivaroxaban withdrawal. A DVT is a blood clot. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. ", For Deep Vein Thrombosis "Treated with Coumadin for 3 years. Last medically reviewed on October 17, 2022. Risk of a blood clot or a stroke is present. Serious side effects, which are explained in more detail in the Side effect specifics section below, include: * Xarelto has a boxed warning for this side effect. These injections include spinal and epidural injections, such as lumbar punctures. I was so sick. If youre prescribed the 15-mg or 20-mg Xarelto tablets, youll take each dose with food. Why does the coronavirus cause blood clots? Typical symptoms are tiredness, breathing difficulties and palpitations. How long youll take Xarelto depends on the type of surgery you had. If you have a hip or knee replacement surgery, Xarelto can be used to prevent DVT or PE from happening afterward. I was only on it for a week and wow.. unbelievable..", For Atrial Fibrillation "I have had a fib and was hospitalized 6 times in 7. I am just switching over to Warfarin as I want to be able to confirm that my INR is ok and I plan to have my bad vein dealt with and then see if I can get off the warfarin permanently. Can diet help improve depression symptoms? My father had 11 strokes in 5 years before he died at age 58. Xarelto (rivaroxaban) is a prescription brand-name medication. Please find a PCP that is more knowledgeable with this issue. They can help determine whether this is safe for you and your child. MS: Can the Mediterranean diet help preserve cognitive health? Xarelto belongs to the class of drugs known as a factor Xa inhibitor. As it got worse, they agreed to switch me to Xarelto. After about a week, my diahrrea was out of control and there was blood in the stool. Bleeding was the most common side effect reported in people taking Xarelto in clinical trials. Children taking Xarelto three times per day should separate their doses by about 8 hours. Xarelto has a boxed warning for this risk, which is a serious warning from the Food and Drug Administration (FDA). Oral anticoagulant drugs are listed as having the biggest drug safety problems in 2016 by the Institute for Safe Medication Practices (ISMP)Quarterwatch Reportsfor July 2017. and Privacy Policy and steps will be taken to remove posts identified
If you have fatigue while taking Xarelto, talk with your doctor. My Cardiologist has prescribed Xarelto for my Afib. ANSWER: Xarelto is an anticoagulant, used in people who are at high risk for developing a blood clot. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. If I didn't get off this poison, I would have lost my job, as I could not function! In certain situations, Xarelto is meant to be used as long-term treatment. If you have questions about Xareltos side effects given your age, talk with your doctor or pharmacist. The Future Of Regenerative Medicine - What To Expect From, Practices To Make Counseling And Psychotherapy Sessions More, Everything You Need to Know About Appetite Suppressants, Chronic Disease Management Among Seniors: How To Support, How Orthobiologics Impacts Injury Recovery, 11 Ways to Manage Dementia and Memory Loss, Medsnews.com uses cookies and tags for performance, analytics, and tracking purposes. There is noFDA-approved antidote for the medication. Don't know if that's true or not, or if they just want to keeppeople on realMeds the rest oftheir life. If youre prescribed the 2.5-milligram (mg) or 10-mg Xarelto tablets, youll take your doses with or without food. I had no side effects at all. We want the forums to be a useful resource for our users but it is important to remember that the forums are
Xarelto If stopped suddenly after a period of consistent use, Xarelto can have dangerous risk factors. Without knowing the why an individual is prescribed any blood thinner, in my opinion! Vision problems every time I go off blood thinners. So I guess just be prepared for how you feel about not being on anything. For the 10-mg dose, XARELTO may be taken with or without food. Oxford Treatment Center, American Addiction Centers rehab clinic in Mississippi, is ready to help you get the treatment you need today. I have a visible rash on my face & excruciating pain in limbs and back. The usual dosage of Xarelto for this purpose is 20 mg once each day with your evening meal. The table below describes the recommended dosages for this use. According to the prescription guide, stopping Xarelto use suddenly can be hazardous and increase the risk for stroke and blood clot formation, which can lead to a lack of oxygen to the brain. Internal bleeding can affect your organs, such as your stomach, lungs, brain, and eyes. XARELTO: uses, doses and adverse bleeding effects, Everything You Need to Know About Diabetes Tests, Remote Therapeutic Monitoring for Personalized Patient Care, Common orthodontic issues and how to prevent them, 5 Ways Your Medical Practice Can Improve Patient Confidentiality. Actually hurt my heart. Pain, dizzy.. felt like I was being poisoned. If in doubt, whatever dose you are on, try to cut it down, to as low level as possible, but do not stop it as not to regret it later. This may cause you to bleed or bruise more easily than usual. Was told to start back on the Xarelto. It is believed to be caused by a calf injury and being in a boot, then taking two flights (both times I specifically asked if I could fly and was told no . Registered in England and Wales. The drug can also increase the risk of pregnancy-related hemorrhage (excessive bleeding) and complications with labor and delivery. Xarelto abuse can also lead to addiction characterized by compulsive drug-taking and drug-seeking behaviors and an inability to stop the drug even when the desire to do so is there. Also had trouble peeing and pain in my lower back. Reviews that appear to be created by parties with a vested interest are not published. Missed doses can increase your risk for blood clots. The information below describes dosages that are commonly recommended for each use. These articles might help: Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. How to take Xarelto (Rivaroxaban)? It may also cause bleeding to take longer than usual to stop. He had been on Warfarin for 7 years with no problems. ", For Atrial Fibrillation "For me everyone of these blood thinners are poison and full of side effects. No, there isnt a specific dosage of Xarelto for older adults. ", For Atrial Fibrillation "Some itching with this but so glad not to go for blood work and to be able to eat whatever I want.