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    Old 11-22-2008, 08:10 PM   #1
    Madsmom2008
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    Newbie- just learned how to post new thread

    Low iron saturation. Flflowergirl thank you. What does all this mean?? Iron Bind.Cap 409, UIBC 392, Iron, Serum 17, Iron Saturation 4. H&H 8.6/25.8 RWD 22.3 RBC 3.16 Anisocytosis present. Hypochromasia present. Folic Serum 4.0 I'm totally lost. Is this just normal low level iron deficiency?

     
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    Old 11-23-2008, 08:17 PM   #2
    FLFLOWERGIRL
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    Re: Newbie- just learned how to post new thread

    As a GB patient you have to have monthly B-12 injections AND oral iron along with all the many other supplements as you may already know. Was she taking her vitamins, iron and B-12 as required?

    My sister is also a GB patient and she was non compliant (crazy), her ferritin and RBC count dropped so she became anemic. She was lucky and caught it sooner than later by chance. After GB her ferritin typically ran only 40 which is a low ferritin to me. So, when she became non compliant (for whatever reason), she used her ferritin stores as the body to tried to keep up. Some people are still able to absorb enough iron from supplements, but when they deplete the ferritin it becomes too hard for them to absorb enough iron to replete stores and and IV iron treatments are required. She may be able to use oral iron after that is over, but that is undetermined right now. My sister recovered her stores with oral iron therapy. She is also about 4 years post op. It takes years to deplete the ferritin stores unless there is an acute blood loss. There is also a special oral iron for GB patients that has IF intrinsic factor in it already and B-12, Vit C and iron for absorption.

    There has been several people on here in the past that were not told to take B-12 by their specialist, if you can believe that? This no less becomes a deficiency leading to anemia. As I said before, a low MCV is indicative of iron deficiency BUT if there is anemia from a B-12 deficiency this can skew the results and make them appear more normal as her labs look with an MCV 82 (in range) low/normal range. This is just a guess, I am just a dumb patient. It can confuse people though. Perhaps this is what her doctor was talking about.

    I would recommend that you get her labs prior to surgery if possible to see where her normal range of ferritin was. It will tell you if she was anemic (as Steph asked) before her surgery and tell you what her baseline for ferritin is. This is something important to know. If you cannot get those labs get more current labs (prior to this time), and look for B-12, folate, ferritin and H & H, RBC to see what her normal counts run, low, normal or what and compare. If she has a history of anemia, I would think that this would have been reviewed prior to the doc agreeing to surgery because this could cause a major complication especially after gastric bypass. You should also keep a record of her lab copies to reference. A cause should have been found prior to surgery of that was the case. Hopefully, this is just a typical ID/b-12?? due to malabsorption as a result of surgery. This is quite common by the way.

    To answer you question; yes, IV iron replaces feritin stores and builds the Hgb back to normal non anemic levels. B-12 injections will be needed if she is deficienct.
    I hope your daughter is responding to IV treatment well. Keep us posted. FLFLOWERGIRL

     
    Old 11-23-2008, 08:57 PM   #3
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    Re: Newbie- just learned how to post new thread

    Thanks for your support. Yes my daughter has ALWAYS been anemic and believe it or not ONE of her MD's when she was growing up, would explore the reasons behind it. And I brought it up to many of them if not all of them. Guess the MD that did the bypass, well, the situation kind of speaks for itself now huh? Wish I would have know how bad things could have gotten.

     
    Old 11-23-2008, 09:01 PM   #4
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    Re: Newbie- just learned how to post new thread

    Hi Madsmom

    Flowergirl has given some excellent knowldege on iron deficiency this is her field for sure.....

    I would like to chime in on the B12 has a B12 test been done & are you just waithing for it? If so was blood taken before her IV was given?

    Having had Gastric Bypass she is in a high risk of B12 defeciency so I wuldnt be srprised if she is very low.....

    It may be wise to ask for a uMMA test this is a urine test (this is good to find a deficiency if the serum B12 is within normal ranges which may be the case if she has had a infusion as that can skew the tests)

    Take care and keep us posted

    Chers
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    Old 11-23-2008, 09:12 PM   #5
    Madsmom2008
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    Re: Newbie- just learned how to post new thread

    My daughter, like your sister has been VERY non compliant with taking suplements of any kind, despite the fact that I logged on to a very well known Bariatric web site that provided tons of information and products for sell. I even purchased quite a few for her, but she never followed through taking them. I do know for a fact that this MD never mention anything about taking B-12 injections. I was there for her pre-op visits and this was never mentioned. Thanks for the suggestion of getting her labs prior to the GB. I do know that twice when she was in high school and they had a blood drive, she wasn't able to donate because they told her her hemoglobin was too low. That was two different years. So I'm guessing she must have been below 12? Another ? for you. The reference interval on the lab report reads normal hemoglobin ranges as 11.5-15.00. Doesn't the 11.5 sound a little low to you?

     
    Old 11-23-2008, 09:35 PM   #6
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    Re: Newbie- just learned how to post new thread

    Hi
    Her folate is low as well ......

    When you say the refernce range is low it is they do that refrences for example b12 is 200-900 here in Aus which is crazy as in Japan it is 550-1600 now ownder they have low alzhiemers rates......

    I was deficient for years with so called normal labs until I hit rock bottom and was really ill...Then they found it I suffered for 5 years with it being tested for every major thing under the sun...I have a malabsorption problem from gluten.......

    a lot of people go untreated for things because t hey are in the so called normal ranges wish docs would look at symptoms as a whole not just labs alone that is why I think we get told the infamous line of "it is all in your head take these anti depressants they will do the trick"

    cheers

     
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