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In a 2023 viscoelastic study using blood drawn from patients on enoxaparin, heparin plus aspirin, apixaban, and phenprocoumon, kaolin produced the largest improvements in clot formation — ahead of the chitosan dressings tested — and the authors stated explicitly that the hypothesis that kaolin is ineffective in anticoagulated blood is inaccurate (Lechner et al., Transfusion 2023;63(S3):S159–S167)

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