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A member asked:
58+ f hb 10.8, rbc "predominantly macrocytic normochromic with macroovalocytes". ferritin 100 ng/ml, b12 894 pg/ml, folic acid 12.3 ng/ml.why anemia ?
A doctor has provided 1 answer
Hg 10.8 macrocytic: Tested methylmalonic acid? Homocystine,? they are usually elevated before B12 goes down, though your B12 is pretty normal. Are you on any medications? metformin? HIV? alcohol? Hypothyroidism, liver disease , COPD, G6PD, hemolysis, malabsorption ( usually have low B12 as well) can cause it as well. http://www.aafp.org/afp/2009/0201/p203.html f/u/ w/ hematology
Answered 8/14/2020
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Related Questions
A member asked:
What would cause low ferritin (13 last yr, now 9) if RBC indices are normal & so is iron panel? Thyroid ok. I take IM B12 for pernicious anemia. 28f
A doctor has provided 1 answer
A member asked:
Is there signifance to folate (folic acid) level > 24 ng/ml and a vit B12 level of 343 pg/ml for someone with continuing fatigue? Fyi vit d =38 and ferritin=39.
3 doctors weighed in across 2 answers
A member asked:
Any significance to a folate (folic acid) level > 24 ng and vit B12 = 343 pg/ml for someone always tired? (fyi vit d = 38 ng and ferritin = 39 mcg)
A doctor has provided 1 answer
A member asked:
Anemia:rbc-3.7, hct-35.4, fer-50, iron-54, tibc 268, iron sat 20%, PLT 222, retic .6%, potas 5.2, B12 1500, folate (folic acid) 24.8. College athlete weight gain, fatig?
A doctor has provided 1 answer
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