I have also been told that some people choose, against the official guidelines, to cut the Eliquis in half and take 1/2 pill twice a day so they have some anticoagulant in their system if they form a clot. Then, increase the dose when they go into AFib. Once the clot forms, it can quickly move. I decided to play it safe, take the Eliquis, and check my Apple Watch ECG 3 times a day. I also like to exercise daily and exercise can trigger arrhythmias, including AFib, in me. I trust my EP with over 20 years experience who has been following me for three years. He worked with me to try and keep me off medications until now. It is a personal decision to make with your doctor.