Recovery of hemostatic balance after CHC cessation. (A) On a phospholipid bilayer on the endothelial cell, the endothelial protein C receptor together with protein C approach thrombomodulin, which has captured circulating thrombin. Protein C then becomes activated. Together with the cofactor protein S, activated protein C becomes even more efficient in inhibiting activated factor VIII and factor V (not shown). Thus, thrombomodulin and activated protein C are important components in reduction of the thrombin generation that was measured. (B) Kinetics of the recovery to normal, approximated to 12 weeks after discontinuation of CHC.

Recovery of hemostatic balance after CHC cessation. (A) On a phospholipid bilayer on the endothelial cell, the endothelial protein C receptor together with protein C approach thrombomodulin, which has captured circulating thrombin. Protein C then becomes activated. Together with the cofactor protein S, activated protein C becomes even more efficient in inhibiting activated factor VIII and factor V (not shown). Thus, thrombomodulin and activated protein C are important components in reduction of the thrombin generation that was measured. (B) Kinetics of the recovery to normal, approximated to 12 weeks after discontinuation of CHC.

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