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  • Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

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    Old 08-12-2007, 05:41 AM   #1
    bananarama
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    Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Hi! I was just told that I was anemic, although, apparently it has been going on for a few months, and they just never told me or wanted to do anything. Mayo called me up and told me that I needed to be taking Chromagen Forte, and called it into my local pharmacy. My PCP here at home wasn't so worried about it. I can post my labs here. It will just take a sec, as I have already typed them elsewhere. I have a few questions:
    What are the side effects of Chromagen Forte Caplet TRX?
    Why was Mayo worried but not my PCP?
    How long before it starts to work?
    Why is it prescribed, when there are over the counter iron supplements?
    Does it interact with any medications?

    I couldn't find any info on this drug online, and no monograph was available through CVS. I just want to know what it is going to do. Let me go and find those labs, and I can post them up here.

    Any advice would be amazing!!

     
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    Old 08-12-2007, 05:45 AM   #2
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Here are my lab results from this summer. Any advice as to what they mean or anything??

    4/29/07,
    WBC- 8.4 [3.6-10.4]
    RBC- 4.35 [3.67-5.29]
    HGB- 12.8 [11.4-15.8]
    HCT- 37.8 [33.8-46.6]
    MCV- 86.9 [82.3-97.5]
    MCH- 29.5 [27.5-33.3]
    MCHC- 34.0 [32.4-35.0]
    RDW- 13.6 [11.3-14.7]
    PLT- 358 [150-400]
    MPV- 8.1 [6.5-10.7]
    NEUT %- 60.6 [44.2-76.6]
    LYMPH %- 30.4 [13.5-42.9]
    MONO %- 7.4 [3.9-12.5]
    EOS %- 1.3 [0.0-4.8]
    BASO %- 0.3 [0.0-1.7]
    NEUT #- 5.1 [1.5-7.1]
    LYMPH #- 2.5 [0.8-3.0]
    MONO #- 0.6 [0.2-1.0]
    EOS #- 0.1 [0.0-0.4]
    BASO #- 0.0 [0.0-0.2]
    CMP BASIC METABOLIC
    NA- 136 [136-145]
    K- 3.9 [3.5-5.1]
    CL- 102 [98-107]
    CO2- 26 [22-29]
    ANION GAP- 8 [7-16]
    GLUCOSE- 97 [70-110]
    BUN- 8 [7-18]
    CREATININE- 1.0 [0.6-1.0]
    BUN/CREAT- 8.0
    GFR- >60
    TOTAL PROTEIN- 7.3 [6.4-8.2]
    ALBUMIN- 3.2 (L) [3.4-5.0]
    GLOBULIN- 4.1 [2.2-4.2]
    A/G RATION- 0.8
    CALCIUM- 9.1 [8.5-10.1]
    BILI TOTAL- 0.35 [0.00-1.00]
    SGOT/AST- 14 (L) [15-37]
    SGPT/ALT- 30 [30-65]
    ALK PHOS TOTAL- 98 [50-136]

    5/7/07
    BUN- 15 [7-19]
    CREATININE- 1.3 (H) [0.6-1.1]
    GFR- 56 f

    5/16/07
    WBC- 7.6 [4.5-11.0]
    Neutrophilis %- 65.5 [43.5-82.5]
    Lymphocytes %- 26.6 [13.0-43.0]
    Monocytes %-5.8 [2.0-12.0]
    Eosinophils %- 1.8 [0.0-4.0]
    Basophils %- 0.3 [0.0-1.0]
    Neutrophils Abs- 4.99 [2.20-8.80]
    Lymphocytes Abs- 2.03 [1.00-4.80]
    Monocytes Abs- 0.44 [0.10-0.80]
    Eosinophils Abs- 0.14 [0.00-0.40]
    Basophils Abs- 0.02 [0.00-0.20]
    RBC- 4.07 (L) [4.20-5.40]
    Hemoglobin- 11.4 (L) [12.0-16.0]
    Hematocrit- 36.1 (L) [37.0-47.0]
    MCV- 88.7 [82.0-100.0]
    MCH- 28.0 [27.0-31.0]
    MCHC- 31.6 (L) [32.0-36.0]
    RDW SD- 43.7 [36.0-50.0]
    RDW CV- 13.5 [11.0-16.0]
    PLATELET COUNT- 394 [150-500]
    MPV- 10.1 [8.6-11.7]
    Sodium- 142 [133-145]
    Potassium- 4.1 [3.3-5.1]
    Chloride- 109 (H) [96-108]
    Carbon Dioxide- 22 [20-28]
    Glucose- 118 (H) [70-105]
    Calcium- 9.7 [8.4-10.5]
    BUN- 9.7 [7-19]
    Creatinine- 0.9 [0.6-1.1]
    GFR- 85 f
    Bun/Creat- 14 [12-20]

    6/4/07
    TRIGLYCERIDES- 156 (H) [<150]
    CHOLESTEROL TOTAL- 198 [125-200]
    HDL CHOLESEROL- 59 [>/= 40]
    LDL CHOLESTEROL- 108 (H FOR DIABETIC) [<100 FOR DIABETICS]
    CHOL/HDLC- 3.4 [</= 5.0]
    GLUCOSE- 98 [65-99]
    BUN- 12 [7-25]
    CREATININE- 0.9 [0.5-1.2]
    GFR- >60
    BUN/CREAT- 13 [6-22]
    SODIUM- 141 [135-146]
    POTASSIUM- 4.2 [3.5-5.3]
    CHLORIDE- 108 [98-110]
    CARBON DIOXIDE- 22 [21-33]
    CALCIUM- 9.3 [8.6-10.2]
    PROTEIN, TOTAL- 6.7 [6.2-8.3]
    ALBUMIN- 3.6 [3.6-5.1]
    GLOBULIN- 3.1 [2.2-3.9]
    ALBUMIN/GLOBULIN- 1.2 [1.0-2.1]
    BILIRUBIN, TOTAL- 0.3 [0.2-1.2]
    ALKALINE PHOSPHATASE- 85 [33-115]
    AST- 13 [10-30]
    ALT- 12 [6-40]
    HEMOGLOBIN A1c- 5.4 [<6.0]
    LIPASE- 26 [7-60]
    TSH- 0.79 [0.40-5.50]
    WBC- 7.2 [4.1-10.9]
    LYM- 2.3 [0.6-4.1]
    MID- 0.6 [0.0-1.8]
    GRAN- 4.3 [37.0-92.0]
    RBC- 4.19 (L) [4.20-6.30]
    HGB- 11.8 (L) [12.0-18.0]
    HCT- 36.5 (L) [37.0-51.0]
    MCV- 87.180.0-97.0]
    MCH- 28.2 [26.0-32.0]
    MCHC- 32.3 [31.0-36.0]
    RDW- 14.3 [11.5-14.5]
    PLT- 384 [140-440]

    7/20/07
    SODIUM- 144 [133-145]
    POTASSIUM- 4.5 [3.3-5.1]
    CHLORIDE- 110 (H) [96-108]
    CARBON DIOXIDE- 22 [20-28
    GLUCOSE- 108 (H) [70-105]
    CALCIUM- 9.3 [8.4-10.5]
    BUN- 11 [7-19]
    CREATININE- 1.0 [0.6-1.11]
    GFR- 75 f
    BUN/CREAT- 11 (L) [12-20]
    HEMO INDEX- 1+
    WBC- 7.4 [4.5-11.0]
    Neutrophilis %- 65.3 [43.5-82.5]
    Lymphocytes %- 24.0 [13.0-43.0]
    Monocytes %-7.3 [2.0-12.0]
    Eosinophils %- 3.1 [0.0-4.0]
    Basophils %- 0.3 [0.0-1.0]
    Neutrophils Abs- 4.82 [2.20-8.80]
    Lymphocytes Abs- 1.77 [1.00-4.80]
    Monocytes Abs- 0.54 [0.10-0.80]
    Eosinophils Abs- 0.23 [0.00-0.40]
    Basophils Abs- 0.02 [0.00-0.20]
    RBC- 4.00 (L) [4.20-5.40]
    Hemoglobin- 11.4 (L) [12.0-16.0]
    Hematocrit- 35.7 (L) [37.0-47.0]
    MCV- 89.3 [82.0-100.0]
    MCH- 28.5 [27.0-31.0]
    MCHC- 31.9 (L) [32.0-36.0]
    RDW SD- 41.0 [36.0-50.0]
    RDW CV- 12.7 [11.0-16.0]
    PLATELET COUNT- 317 [150-500]
    MPV- 11.0 [8.6-11.7]

    7/27/07
    Hemoglobin- 10.9 (L) [12.0-15.3]
    Hematocrit- 31.9 (L) [34.9-44.5]
    RBC- 3.68 (L) [3.90-5.03]
    MCV- 86.8 [81.6-98.3]
    MCH- 29.7 [27.4-33.0]
    MCHC- 34.2 [33.1-34.4]
    RBC DIST WIDTH- 12.9 [11.9-15.5]
    WBC- 11.5 (H) [3.5-10.5]
    PLATLET COUNT- 347 [150-450]
    MEAN PLT VOLUME- 8.4 [7.4-10.9]
    LYMPHOCYTES- 8.6 (L) [17.8-41.5]
    MONOCYTES- 7.5 [3.3-10.1]
    NEUTROPHILS- 82.6 (H) [44.4-70.9]
    BASOPHILS- 0.1 [0.0-2.2]
    EOSINOPHILS- 1.2 [0.8-7.2]
    ABS LYMPHS- 1.0 [0.9-2.9]
    ABS MONOCYTES- 0.87 [0.30-0.90]
    ABS NEUTROPHI- 9.5 (H) [1.7-7.0]
    ABS BASOPHILS- 0.0 [0.0-0.1]
    ABS EOS- 0.13 [0.05-0.50]
    SED RATE- 22 [0-29]
    VIT B12 CASCADE SERUM- 215 [180-914]
    IRON- 29 (L) [35-145]
    TIBC- 510 (H) [250-400]
    % SATURATION- 6 (L) [14-50]
    FERRITIN- 5(L) [11-307]
    SODIUM- 142 [135-145]
    POTASSIUM- 4.0 [3.3-5.1]
    CALIUM- 9.7 [8.9-10.1]
    PHOSPHORUS- 3.6 [2.5-4.5]
    TOTAL PROTEIN- 6.9 [6.3-7.9]
    ALBUMIN- 4.2 [3.5-5.0]
    TOTAL BILI- 0.3 [0.1-1.1]
    URIC ACID- 5.0 [2.3-6.0]
    CREATININE- 0.9 [0.6-1.1]
    BUN- 15 [6-21]
    IRON- 29 (L) [35-145]
    TIBC- 510 (H) [250-400]
    % SATURATION- 6 (L) [14-50]
    CORTISOL AM- 16.6 [7.0-25.0]
    A1C HEMOGLOBIN- 5.5 [3.9-6.1]
    GLUCOSE, P/S- 97 [70-100]
    ALK PHOS- 127 [52-144]
    AST- 17 [8-43]
    TRIGLYCERIDES- 91 [NEEDS TO BE <199, BUT NORMAL IS <150]
    CHOLESTEROL- 198 [NEEDS TO BE <239, BUT NORMAL IS <200]
    HDL CHOL- 53 [>40, BUT DESIRABLE IS >60]
    LDL CHOL- 126.8 [NEEDS TO BE <159.9, BUT LOW RISK IS 101-129, AND OPTIMAL IS <100]
    CHOL/HDL- 3.74 [FOR FEMALE: LOWER RISK-0-3.86, AVERAGE RISK-3.87-5.74]
    SENSITIVE TSH- 0.55 [0.30-5.00]
    T4, FREE- 0.9 [0.6-1.6]
    PTH INTACT S PG/ML- 13 [11-67]
    PTH INTACT S PMOL/L- 1.4 [1.1-7.1]

     
    Old 08-12-2007, 07:51 PM   #3
    FLFLOWERGIRL
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Quote:
    Originally Posted by bananarama View Post
    What are the side effects of Chromagen Forte Caplet TRX?
    Why was Mayo worried but not my PCP?
    How long before it starts to work?
    Why is it prescribed, when there are over the counter iron supplements?
    Does it interact with any medications?

    I couldn't find any info on this drug online, and no monograph was available through CVS. I just want to know what it is going to do. Let me go and find those labs, and I can post them up here.

    Any advice would be amazing!!
    Bananarama--
    1. Side effects of iron are very much an individual experience. Depends how sensitive your system is. If you do have them they are usually GI related problems. If upset occurs you can take with food. Know that when you do this iron absorption is decreased by 50% or more. This is not a fast way of replacing iron. Sometimes this is the only way it just takes longer.

    2. I think that Mayo is right on the mark with a DX. Sorry YOUR pcp didn't tell you, always get labs and read them.

    3. Not sure exactly. Also, depending on your reason for anemia it could take a very long time. Usually HGB should respond to treatment within to 30-45 days to resolve if it is diet related or blood loss has stopped and iron is well absorbed IF, IF, IF! TIME.

    4. The reason for RX instead of OTC is usually due to problems with upset and your doc know this and prescribes a milder form. A big reason is because you can get a much higher does than OTC which is needed to fill your Ferritin iron stores that are empty. This takes up to 1 yr.to fill with oral iron. There is no iron left in the bone marrow under 10 my doc said.

    5. There are drug interactions with the use of iron. You really need to look this up there is a lot of information about this. Thyroid (Synthroid)meds are not to be taken within 4 hrs. Iron is decreased by PPI's (Nexium) type drugs. And other things.

    Information on the type of iron that has been prescribed for you is a Vitamin/mineral combination-that means it has iron, folic acid, C to increase iron absorption and B-12 to enhance blood cell development. The manufacturer is Ther-RX. I think that is the TRX that you put after the name Chromagen Forte Caps. Just search the name. With regular iron you have to add a vit/minerals and c to do all these things that yours has in it already.
    Good Luck! FLFLOWERGIRL

     
    Old 08-12-2007, 08:10 PM   #4
    bananarama
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Thanks so much for the info!! I appreciate it! My doctor told me to take it with food, due to my already really sensitive stomach. I have been on Reglan and Phenergan for close to a year now for constant nausea (you'd think it would have gone away after the gallbladder was removed).
    So, since my ferritin was below 10, that means I don't have any iron stored up in my bone marrow? Or is it once your iron gets below 10? I am also on Prevacid, so should I take the iron at lunch, as I take Prevacid two times a day? Thanks fo rht einformation! I really appreciate it!

     
    Old 08-13-2007, 06:00 AM   #5
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Quote:
    Originally Posted by bananarama View Post
    Thanks so much for the info!! I appreciate it! My doctor told me to take it with food, due to my already really sensitive stomach. I have been on Reglan and Phenergan for close to a year now for constant nausea (you'd think it would have gone away after the gallbladder was removed).
    So, since my ferritin was below 10, that means I don't have any iron stored up in my bone marrow? Or is it once your iron gets below 10? I am also on Prevacid, so should I take the iron at lunch, as I take Prevacid two times a day? Thanks fo rht einformation! I really appreciate it!
    I have always had a sensitive stomach. When I started iron I was told to take 3X daily/Ferris Sulfate OTC. I became very ill within 3 days but continued because I didn't know what else to do. I had a (8.5 Hgb w/2Ferritin)then had bad reflux that burned up my insides and gave me IBS. I was on this for 2 1/2 wks before the new (GI) doc put me on a milder form of iron, poly Iron 150 caps. I remained nauseated for about 5-6 mo.'s everyday then it just went away. Then I tried it on an empty stomach and actually had better luck than with food. I think that w/food the iron stayed in my stomach too long. I do take it with glass after glass of water. My numbers started to climb much faster because I was getting the right amount of intake iron as needed. I believe that your supplement has 151 mg of elemental iron. I now take 150--2X daily as was prescribed 7 mo.'s ago. My Hgb is now above 12.9 with a Ferritin 9. You have to try different things and don't give up!

    I don't think that one point on your Ferritin test is worth counting. So I would say either way you are very low! I'm just going by the info that is out there and what my doc Hematologist says. I did find one site that said under 20. You will have to ask your doctor. Anyway you are very low.

    Taking your Iron w/lunch is probably a good idea considering your schedule. FLFLOWERGIRL

     
    Old 08-13-2007, 03:49 PM   #6
    bananarama
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Thank you so much. I appreciate your advice!! I am taking the iron with lunch, but I think later on I may try to take it without food to see how my stomach handles it. I am actually not getting any side effects at all, so that is a good thing.
    Wow, yours was a lot lower than mine. I am glad that it is better now. I am going to try and keep up with everything like i should. Just now changed my diet around, and when I am not in pain I try to exercise. That part is hard, because I am constantly in pain. Oh well. Hopefully soon all teh health problems will go away, including the anemia.
    I took my results to my chiropractor, who is my mom's best friend, and she told me that she wasn't really worried about it, except that it dropped so fast between 7/20 and 7/27, which were the last two times I had labs done. She told me that it would be a really good idea to get the labs done once again before going to Mayo, and then get them done again at Mayo in a couple of weeks, just so that I can have morereferences, and she said that it dropping that fast in 7 days, she didn't think I should put off getting it tested, as maybe my body isn't going to absorb the iron, and then it will still drop even more before I go. I don't know what to think. I have had quite a few people in my family who have had to have transfusions, on both sides, because they couldn't absorb the iron, but they all started having that problem much later than me. I am only 21. Gee. So, I don't know.

     
    Old 08-13-2007, 05:33 PM   #7
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    I didn't see a B-12 and Folate test result. Especially when you are DX'ed w/anemia you should have these tests done. There is more than one type of anemia. With your family history "perhaps" there is an absorption issue that you are also dealing with. Celiac disease is an autoimmune disease (gluten intolerance; wheat, barley and rye) that can cause this and I would also ask for that test as well. Some people are B-12 and Iron deficient at the same time, even vitamin deficient in some things. Sounds like a hereditary component MAYBE.

    Another idea is that you are on a larger dose of PPI and that will also cause you not to absorb as much iron. You must have acid (that is why it is in your supplement). A decrease of stomach acid will decrease your absorption rate. You are on prevacid 2x daily. Do you know why your stomach is sick? It very well may be part of your problem???

    If you are having heavy periods or even mild this also adds to iron loss. All of these issues = lower production of Hgb = anemia. FLFLOWERGIRL

     
    Old 08-13-2007, 05:59 PM   #8
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Chromagen Forte is very well tolerated. I work with an OB/GYN and we recommend it frequently because it does not seem to cause constipation or GI distress like other iron pills do. Your doctor should monitor your levels because oral iron does not always work. You might want to add betaine/pepsin (hcl) to every meal to enhance absorption. Best of luck.

     
    Old 08-13-2007, 06:13 PM   #9
    bananarama
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Thanks!I think when I go back to Mayo they will do more testing. You see, my doctor here at home thinks there is absolutely nothing wrong, and that it is all due to periods, which I haven't had in a few months, due to changing out birth controls, and having PCOS. I will ask them about it when I go back. I am seeing my old PCP from school when I go to visit this week. Maybe they can do something. I don't know. All that I know is I am tired of feeling like I do right now. There is definitely a family history of anemia, which I just found out, after the Mayo Clinic called me the other day to tell me I was anemic. They don't really know what is causing the stomach issues, as when I had my gallbladder out it in April it should have fixed them all. I am eating an activia yogurt once a day to see if it helps any, as well as a danactive. So far so good, and it is getting slightly better. I don't know what is up with it. Luckily I am having no side effects from the iron, which is good.
    I will check into the other things.
    Thanks!!!

     
    Old 08-29-2007, 07:21 PM   #10
    bananarama
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Hey! Here is an update from Mayo:

    Psychiatrist: I am Bipolar Type 2-On Venlafaxine 37.5 mg, but going to go on a mood stabilizer as well after getting in with a psychiatrist in New Port Richey. Have to go to a psychiatrist once a week, and get cognitive behavior therapy (CBT)

    Nutritionist: learned about portion control and a diet that will help with kidney stones, anemia, and diabetes. Follow up in September.

    Neurologist: The nausea makes teh migraines complicated, and I may have something wrong with my brain, so I have to get an MRI on my brain. Also, need to get an MRI on my spine to see exactly what is wrong. Those and a follow up are going to be done September 24-29th. Also, a Vitamin D deficiency may be causing the pain everywhere, so therefore they tested for that (will get the results in September).

    Physical Medicine: The pain in my back is in the muscles, and most likely from the kidney stones having messed with te muscles in the back. He said that that happens to some people who have kidney stones, and the ureteroscopy. I am to go to physical therapy 2-3 times a week for 4 months, and get a TENS unit for the back pain.

    Internal Medicine: I don't have sleep apnea. Not really any new info there.

    Gynecologist: PCOS (which I already knew). He wants me to skip my periods still, but not have the cramps (which is what I have without birth control, cramps but no period). So, he wants me to take the birth control, but instead of taking the placebos, he wants me to throw them away and start a new pack of birth control, therefore not having periods. This will help with the anemia as well. He said that until all of the ptehr pain is diagnosed, he doesn't want to do the laparoscopy until all of my other problems are controlled, that way he doesn't cause unneeded pain.

    So, yay for some answers. I have to go back to Mayo Clinic September 24-29th to have my anemia checked on again, see the neurologist (after having the MRIs), and see the GIM again. Also seeing the neurologist. Yay.

     
    Old 08-30-2007, 06:26 AM   #11
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Just wondering if the medication you are on is known to cause low wbc. I see your wbc, specifically your lymphocyte count has dropped dramatically. Glad to hear you are getting the help your need. I originally started coming to this board because of a B12 deficiency and have recently found out I have low Vit. D levels as well. Good luck with your next doctor's visit.

     
    Old 08-30-2007, 08:01 AM   #12
    bananarama
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Thanks! I don't know if the meds do cause any deficiencies or lowered wbc. I had no idea what any of those "cytes" things were. How are they fixing your vitamin d deficiency? I am so glad to be with Mayo, because I know that they are good.

     
    Old 08-30-2007, 04:28 PM   #13
    FLFLOWERGIRL
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    I'm glad that you are having success with your healthcare. Hope that you are on the road to recovery. I called Mayo because no one in my town seems to be able to help me very well. Mayo just stopped accepting my insurance this year. it's a new policy for them, last year they would have taken it, I have good insurance too. I was bummed........Feel well!FLFLOWERGIRL

     
    Old 08-30-2007, 06:35 PM   #14
    bananarama
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    I am so sorry that your insurance isn't being accepted. That really stinks! I hope that you can find a doctor who can help you out. Good luck!!

     
    Old 09-10-2007, 12:54 PM   #15
    bananarama
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    Re: Chromagen Forte Caplet TRX- Need info, please. Am posting lab results as well!

    Apparently my anemia is getting better already! That was told to me from the ER, as I was there 3 times last week with kidney stones. I am going to Mayo in the 26th, where they will check my ferritin levels and such again. I don't exactly know the CBC numbers or anything, but hey, if I am not anemic that is amazing!!

     
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