Doctor insights on:
B12 Folate Deficiencies
Not clear: No clear evidence for the causal-effect relationship between the two. PA is an autoimmue-mediated destruction of parietal cells in stomach, resuling in impairmnent of B12 absorption. Certainly it is possible that pernicious anemia may co-exist or exacerbate duodenitis via immune process or loss of balance in duodenal fluid, or anemia. But the causal-effect relationship is not well established. ...Read moreSee 2 more doctor answers
Folic acid, AKA folate (folic acid) (vit B9), is recommended for all women wanting to get pregnant -- 0.4mg (400mcg) daily, which is important for preventing birth defects like spina bifida. Women w/ a hx these disorders should take 10x that amt daily -- 4mg (4000mcg) through the 3rd month of pregnancy. It won't affect fertility, chances of conception/twins, or periods. ...Read more
Fe -Ca: Ida is common in young menstruating females. Calcium deficiency? Quite odd at any age. Wonder if your Albumin is normal giving a falsely low calcium.... Why would anyone check a calcium in a healthy 18 yo? Maybe there is more to this story. Maybe you should talk to doc who drew your labs. ...Read more
Generally not but if: B12 deficiency is relatively common and if mild, often cause no symptoms. If deficiency is chronic and more severe, anemia may develop, fatigue, irritability, and nerve damage may occur. Severe deficiency can lead to dementia as well. Any of these condition, if severe, can cause secondary etc..B12 is an important vitamin and treatment is relatively easy/inexpensive..Consult your doc..Good luck. ...Read more
No: There is no association between the two. ...Read more
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?
?Not anemic: Your rbc is low, but hct is probably at the bottom of normal. The other lab values are all normal. This discrepancy between rbc and hct usually means either your red cells are unusually big, or something is interfering with the counting. This can happen with a cold agglutinin (red cells clump in the cold), excessive alcohol, liver problems, or low thyroid. Given other symptoms, check thyroid. ...Read moreSee 1 more doctor answer
For 57+ F with Hb 10.6, RBC 3.6, Pt 1.2L & ESR 51 while normal MCV & MCHC, does Ferritin 35 [4 - 204] indicate iron deficiency or haemolytic anemia ?
Not usually, but : Do you really have Folic Acid deficiency? If so, you could have elevation of homocysteine, which could be a risk of heart attack and/or stroke. If this is the case, have your doc check for an mthfr (tt or ct allele genetic condition), as this could be quite a problem if not addressed. The tt is relatively uncommon, but must be treated. ...Read more
Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?
Need good care: You need to be under the care of a competent physician who can keep your diabetes under control and find the cause of your anemia, which i suspect is due to iron deficiency from blood being lose somewhere. We can't solve it here. If you have a specific question, let us know. ...Read moreSee 2 more doctor answers
Iron def. anemia: The symptoms in pregnancy for anemia are jsut as in any other conditions but in pregnancy it can affect the fetus as well so you should talk to your ob/gyn md. You will feel tired as in any anemia. Pica is difficult to attribute to iron def. As you normaly could have pica in pregnancy by itself. Ur prenatal vitamin have iron but if you still need additional amounts you need evaluation for it. ...Read more
I have low b12 and folate (folic acid) but no period for 6 months , large fibroids , normal hormone levels , could this all be linked together or menopause ?
Are these labs cause for concern? Calcium 8.7 L
Creatinine 0.61 L
Anion Gap 13.9 H
Epithelial Cells- Many
May be WBC: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, I trust the WBC 10-20 was in urine. If so, it should be repeated with proper urine collection of mid-stream specimen, after cleaning the external genitalia. Your doctor can advise on proper collection technique. Others are okay. ...Read more
Anemia: You have anemia. What is mcv. Most likely anemia is from blood loss and indicates iron deficiency. Can get reticulocyte count checked. Most common cause in you may be heavy menstrual flow. If that is not the case will worry about blood loss from gut and will advise check up. ...Read moreSee 1 more doctor answer
Pregnancy/anemia: If you were not anemic before pregnancy and now becomes anemic after the pregnancy, this is most likely physiological or dilutional anemia, i.e. greater expansion of plasma volume over red cell volume increase during the pregnancy. During the pregnancy, your iron and folate (folic acid) requirement will be increased for fetus and placenta. ...Read more
Different issues: Vitamin d deficiency is common in the us due low exposure to sun, low milk consumption and obesity. If you are deficient in vitamin d you can take over the counter supplement. Exercise intolerance can be due to many causes from lack of physical activity to many systemic disorders and you should consult your doctor. ...Read more
My ferritin level (15) dropped low (from 152) and tibc (471) is high, but iron is normal (71) and hgb remains slightly high (17.5). Iron deficiency?
12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?
Nutrition!: A gastric bypass is a very complex nutrition situation. If your physician has not dealt with it much i would suggest asking for a referral to a nutritionist or a bariatric center. That being said, the dosage of iron is fda approved treatment for iron deficiency, and the vitamin d is a reasonable amount. You have many nutrient levels that should be monitored and carefully watched! ...Read more
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