Re: No Iron in Bone Marrow?
Thank you for your response. I don't think I was clear in my question though. My iron stores are increasing before I started the iron. The lowest my ferritin has been is 19 (that's when my hemoglobin was it's highest). The blood draw with the ferritin level of 60 was conducted the same day as the bone marrow aspirate which showed no marrow iron. I started the iron after those tests. For some reason the iron does not get into the bone marrow, despite there being sufficient stores in the ferritin. From researching last night, the discrepency between ferritin levels and marrow iron reflects some other co-concuring condition.
Also, FWIW, automated counters from 2 different labs show macrocytosis, and manual counts from 2 other labs (4 labs total) show normal sized RBC's. I thought maybe the RBC's were sticking together and showing larger sizes on the automated counts, but that should affect number of RBC's and there is no correlation.
My B12 levels have always been fine, and my MMA is not elevated. It was my idea to try the B12 because I had read that in rare cases MMA and B12could be normal in light of B12 deficiency.
Can a mixed cause anemia cause these values to be off?
Last edited by zoes life; 09-21-2006 at 09:19 AM.