A 22-year-old female asked:
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rbc low 3.99 hct low 36.4 iron: 41 tibcc 459 ferr 6.4 - iron deficiet anemia but why isnt my hemoglobin low?

2 doctor answers
Dr. Richard Zimon
58 years experience Internal Medicine
You are: not giving us the Hgb level! What is it?? The Hgb "number" may be low normal along with the HCT you quote! Ask again! Dr Z
Answered on Jul 4, 2015
Dr. Gurmukh Singh
48 years experience Pathology
Iron deficient: Your hemoglobin may be low normal, but your iron stores are still depleted and if you do not correct the deficiency you will become anemic, especially of you are losing more than usual amount of blood each month. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco or alcohol in any form. Practice safe sex. Get HPV vaccine.
Answered on Jul 4, 2015

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Need a few: more numbers. The high RW may mean you still are iron deficient. Do you know your ferritin? RBCs in your urine unlikely unrelated
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