Hi Carol,
You should discuss your question with your physician, but generally, a longer-than-normal INR can mean a lack of or low level of one or more blood clotting factors, a lack of vitamin K, liver disease, etc. In addition, a longer-than-normal INR can be caused by treatment with blood-thinning medicines, such as Coumadin.
Best Regards,
Karen McPartland, RD, CSSD
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