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A 32-year-old female asked:

Anemic. more blood work ordered. b12 266. folate (folic acid) 10.6. ferritin <8. iron 47. iron binding capacity 490. iron sat 10%. will i undergo more tests?

2 doctor answers6 doctors weighed in
Dr. Lois Freisleben-Cook
Pediatrics 41 years experience
Perhaps: you are iron deficient either due to inadequate iron intake or poor absorption. You need additional iron in your diet through food sources and supplements. Add citrus to every meal containing iron to help with absorption. If you are not responding to supplemental iron you may be tested for sources of blood loss and/or inflammation affecting absorption. Consider gluten sensitivity.
Dr. Lewis Hassell
Pathology 39 years experience
Iron deficiency: You probably could have avoided some of the tests if careful inspection of the initial CBC had guided your testing based on the MCV, etc. With findings supportive of iron deficiency, the next question is to discover why, and that likely will lead to looking for ulcers, colon polyps or other sources of blood loss.

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Last updated May 16, 2015

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