President Donald Trump defended his decades-long habit of taking a large daily aspirin, stating he takes a 386 dose psychologically even though doctors advise dropping to 80 and he does not know if it works, NDTV reported.
Trump Defends Daily Aspirin Routine Despite Medical Advice
NDTV reported that Trump discussed the routine publicly, emphasizing that he has maintained the regimen for decades.
“I take an aspirin a day. I don’t know if it works but psychologically I need it,” Trump said, as quoted by NDTV. “It thins the hell out of your blood I guess. I don’t know if it works or not but I’ve been doing it for a long time. And here I am making speeches.”
Contrasting High-Dose Regimen With Standard Medical Guidance
NDTV noted that Trump takes a large daily dose, specifying that he uses Bayer aspirin and takes “the big one.” According to his physician, Dr. Sean Barbabella, the president takes 325 milligrams daily, though NDTV pointed out that Trump referred to taking “the 386.” NDTV reported that Trump’s daily amount significantly exceeds the recommended 81-milligram low-dose aspirin typically prescribed for heart patients.

Medical guidance from the Mayo Clinic cited by NDTV indicates that a low dose to help prevent heart attacks or strokes ranges from 75 to 100 milligrams, with 81 milligrams commonly recommended, while standard aspirin therapy generally falls between 75 and 325 milligrams. Trump acknowledged the discrepancy in his interviews with The Wall Street Journal cited by NDTV, saying, “They want me to go down to the 80. I take the 386. I don’t know what the hell it is. It’s a monster. They said, ‘Sir, you don’t need that!’ I said, do me a favor, I’ve been doing okay for 35 years. Leave me alone.”
Bruising and Health Scrutiny Behind the Aspirin Regimen
NDTV reported that the aspirin discussion stems from months of public scrutiny regarding bruising on the back of Trump’s hands. While the White House initially attributed the marks to frequent handshaking, Trump later linked the bruising directly to his heavy daily aspirin intake during interviews with The Wall Street Journal. Trump, 80, has admitted to using makeup to cover the marks on his hands, stating that he has makeup that is easy to put on.
NDTV noted that Trump explained his reasoning by stating, “They say aspirin is good for thinning out the blood, and I don’t want thick blood pouring through my heart. I want nice, thin blood pouring through my heart. Does that make sense?” NDTV added that medical evaluations showed the president possesses “excellent metabolic health,” with cardiovascular health testing significantly younger than his chronological age.
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How Daily Aspirin Affects the Body
Aspirin works by making platelets, which are tiny blood components responsible for clotting, less likely to stick together, thereby thinning the blood and reducing the ability of blood platelets to form clots. This mechanism can help prevent blood clots from blocking arteries supplying the heart or brain, and can reduce the risk of another cardiovascular event for people who have already experienced a heart attack, certain types of stroke, or specific heart procedures.
In addition to helping prevent heart attacks and strokes in some patients, regular aspirin use can increase the risk of bleeding in others by reducing the blood’s ability to form clots, meaning bleeding may take longer to stop.

Why Donald Trump Takes a High Dose of Aspirin Daily
Why does Donald Trump take a high dose of aspirin?
Trump stated that he takes a large daily aspirin because he needs it psychologically and wants to keep his blood thin, having followed the routine for roughly 35 years, according to NDTV.
What dosage of aspirin does Trump take compared to standard medical recommendations?
Trump takes a 325-milligram daily dose of Bayer aspirin according to his physician Dr. Sean Barbabella—though Trump himself has referred to taking “the 386″—while standard low-dose aspirin prescribed for some heart patients is 81 milligrams, and Mayo Clinic guidance notes that low doses range from 75 to 100 milligrams.
What side effects has Trump linked to his daily aspirin habit?
Trump acknowledged that his heavy daily aspirin use causes him to bruise more easily on his hands, a topic that drew public attention when the marks appeared at various public events, NDTV reported.
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