Flying dutch, it sounds like your asking the million dollar question.
(or even multi-million dollar)
QDM, take your point, but I'm not sure if there is enough evidence (yet) to support the use of low dose aspirin.
If we give aspirin to 10,000 otherwise healthy pilots, albeit working in cramped conditions, are we going to cause more problems than prevent ?
Didn't I read somewhere that NSAID's (yes I know its slightly different), silently kill about 2000 people a year in the uk.
I'm not sure of the evidence ? In this case do we rely on clinical consensus , and if so, is this any better than guesswork ?
The reason I'm interested, is because I'm faced with the question frequently by my travelling patients. I tend to consult my travel clinic colleagues, but I'm not sure on what evidence they base their opinions.