You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Which of the following dietary supplements is recommended for a pregnant lady on Heparin? and explain in detail?
Heparin tends to reduce the calcium levels and cause bone de-mineralisation leading to osteoporosis. With high doses, heparin tends to affect the vitamin D metabolites in the blood. This effect is more pronounced in pregnant patients where the calcium levels fall even with low doses of heparin. Hence pregnant patients on heparin should increase the dietary supplement of calcium. Ref: Harrisons textbook of medicine 16th edition, Page 2263 ; Clinical Pharmacy By William Hughes; 2nd edition, Page 14