Three months ago my CT scan showed nothing. No clot. Everything looked stable. I was already taking Eliquis 2.5 mg twice a day, staying active, riding my bike, doing everything I thought I was supposed to do. Then another scan changed the story.
The report said: “New non-occlusive thrombus in the main portal vein occupying about 50% of the vessel.”
In plain English — a blood clot formed in the main vein that carries blood from the intestines into the liver. Half the vein is blocked. The other half is still open.
At first it made no sense. How do you develop a clot while you’re already on blood thinners?
The answer is something I’ve learned the hard way: cirrhosis changes how blood flows through the liver.
Because the liver is scarred, blood meets resistance trying to get through it. That pressure backs up into the portal vein system. The spleen enlarges, platelets drop, and blood moves slower than it should. Slow blood flow is one of the main ingredients for clot formation.
So even if you’re doing things right — taking medication, exercising, eating better — the physics of circulation inside the liver can still allow a clot to form.
That’s exactly what happened to me.
The good news is the vein is not completely blocked. Blood is still flowing through about half of it. That matters, because as long as blood is moving, there’s a real chance for the body and treatment to stabilize the clot and possibly reopen the vein over time.
So what now?
Now the focus shifts from “Why did this happen?” to “How do we fight it?”
My plan is simple and practical:
• Proper anticoagulation – adjusting medication so the clot doesn’t grow
• Consistency – no missed doses
• Movement – staying active, cycling, keeping circulation moving
• Hydration and nutrition – reducing processed sugar and supporting liver health
• Monitoring – follow-up imaging to track the clot
I’m not pretending this is nothing. Portal vein thrombosis is serious. But it’s also something that many people with liver disease face and manage.
The way I see it, this is just another round in a longer fight.
My liver has already forced me to rethink how I live — how I eat, how I train, how I take care of my body. This clot is just another reminder that the work isn’t optional.
It’s daily.
And the goal is the same as always: stay moving, stay disciplined, and keep the system working as well as it possibly can.




