All female patients who are 18 years or older who will undergo unilateral or bilateral abdomen-based free flap breast reconstruction at UVA Medical Center
You may not be if
Subjects with ages \<18 years
Allergy to TXA
Subjects who has contraindications to TXA: anyone who has active intravascular thrombosis or anyone with subarachnoid hemorrhage
Subjects who have anemia (defined as baseline hemoglobin \<8 g/dL
Subjects who cannot read or understand English
Subjects who are pregnant
Clareo Health | Role of TXA in Patients Undergoing Breast Free Flap Reconstruction