@gloaming I suggested to the cardiologist that the three criteria for reducing the dose of Eliquis by 1/2 were 1) age over 80 (I'm 79.5) and weight lower than 130 lbs (I am 135) and 3) decreased kidney function (mine is fine). He practically had smoke coming out of his ears at the suggestion. I have no history of stroke in my family. My B/P is well controlled. My brother also has had A-fib for years with multiple cardioversions and one ablation and his cardiologist has never had him on anything except ASA. However, he was on an anti-arrhythmic med for years (amiodarone) known for potential to damage the lungs. New cardiologist for him was shocked he'd been taking it for 10 years and took him off! Now he is having recurrent episodes of A-fib. Go figure. He lives in the midwest; can there be a regional difference? This is what surprises me about talking to others on this site--how different and sometimes how "flippant" some doctors are about this condition. Shouldn't there be some standard treatment approaches with all the studies that have been done and all the people out there that suffer from this condition. I feel like it is more like every man (or woman) for themselves in terms of what approach to take.