<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have Antiphosphilipid and factor V leiden and I am on 11mg of warfarin... I just moved to a new city and I have had a hard year with a PE being on 20,000 units of heparin a day and now my INR is staying at 1 or lower I am have been realy ill the past few days and I am sooo tired. The Anticoagulation clinic here that I found bc I have to have some monitoring has told me that this needs to be handled but I havent found a new Hemotologist as it is very hard to do on your own... I need help and I am getting sick diahhrea and nauseated with headache I do keep very hydrated, another thing 3 weeks ago I ruptured my ACL could this cause issues??? No DVT  <response>: Hi, dairy have gone through your question. I can understand your concern. You have thrombophilia. So you should take continues warfarin treatment to avoid any clotting in body. You should maintain your INR between 2 and 3. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. 