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Inhibition of vitamin K epoxidase decreases the synthesis of these clotting factors, but the complex has a long half-life (about 14 hours), and it is this half-life that determines how long it takes for the concentration of clotting factors to reach a new steady state and for a drug effect to reflect the average warfarin plasma concentration

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These manifestations are often more pronounced during activities that involve bending or extending the wrist

Tahara Y, Takatsu Y, Shiraishi T, Kikuchi Y, Yamazaki M, Motohashi H, Muto A, Sasaki H, Haraguchi A, Kuriki D, Nakamura TJ, Shibata S (2017) Age-related circadian disorganization caused by sympathetic dysfunction in peripheral clock regulation