I've recently had another mini stroke while being on 15 mg warfarin, 600 mg plaquenil, 81 mgs of Aspirin and an INR of 3.9. It's been 17 years since my last Mini Stroke which was before I was diagnosed with APS. As soon as I begin taking warfarin I stopped having the Mini Strokes but was still having micro clots. My Rheumatologist put me on 10 mg of Lipitor along with the 81 mgs Aspirin and the micro clots ceased. I had to quit taking Lipitor because of elevated liver enzymes but I have continued to take the Aspirin and of course the Warfarin. Unfortunately, the micro clots began again. I went to my Rheumatologist last week for my scheduled appt. and told him all the above information and he said my Hematologist may be putting me on Lovenox injections in addition to the warfarin and aspirin. I wondered if anyone has experienced this and if there are any suggestions for me to ask my (sort of knowledgeable APS Hematologist)? Thanks so much dear ones.