If you need Xa, Va, calcium, and phospholipid to do II--->IIa (i.e., prothrombin to thrombin) and you need IIa to do V--->Va, how does this work? I suck at the coag stuff, but it seems that you need IIa to make Va but you need Va to make IIa, and I don't see where either one is made elsewhere. Thus, it's circuitous. The FA 2011 page is 345.