Short answer: Anyone with a bleeding disorder or scheduled for surgery, because of the ginkgo content — stop before planned surgery, a direct, specific pre-operative instruction.
Why this caution connects to Ginkgo's core mechanism
Ginkgo may increase bleeding risk and interacts with anticoagulant and antiplatelet medicines — discontinuing before surgery reflects a genuinely sensible, mechanism-based precaution.
What a specific, practical step looks like
Mention this supplement directly to your surgical team when discussing your pre-operative medication and supplement list — a direct, actionable instruction.
⚠️ Worth knowing: this caution is grouped alongside the formula's other bleeding-disorder exclusions given the same underlying ginkgo mechanism.