Doctor insights on:
Ferritin Folic Acid
I am a 56 year-old female with a history >20 yrs of chronic non-iron deficiency anemia, hgb 10.2. No menses, 2 egds/colonoscopies in last 10 years normal, fe, tibc, ferritin, folic acid, folate wnl.
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
Does normal CBC mean I don't have anemia or shall I still test for ferritin and folate (folic acid)?
No anemia: A complete blood count means a measurement of White blood cells, the amount of hemoglobin, and the precent of blood that is red ( HGB, HCT) and the number of platelets. There may be additional sub-typing of WBC. Anemia means low HGB or Low HCT. Ferritin is a storage form for iron and folate (folic acid) is a B vitamin used in making Red blood. normal HCT then no need to check. ...Read more
Rbc lo. Hgb, hct ok. Mch & MCV hi. Ferritin ok. B12 & folic acid hi. D lo. Thyroid ok. Rf hi. Repeatable. Tired, weak and unfocused. Cause?
Additional info: What are the actual number values associated with the rbc, hgb, hct, mch, and mcv? This will help establish significance of these high or low values. Do you have relatives with RA or other autoimmune disease? Do you have any history of hepatitis or liver disease (can cause simultaneous high rf and high mcv)? Are there other lab test results for autoimmune disease (ana)? ...Read moreSee 1 more doctor answer
How can one tell the difference between low b12 and pernicious anaemia? Mildly low ferritin, b12, folate (folic acid) and red blood cells. Hair loss too.
Iron and folate (folic acid) defi: You have deficiency of both iron and folic acid. Need to see whether you have nutritional issues , like food fads. Iron and Folic Acid are rich in green leafy vegetables, if you avoid them start taking them. Worth to get a nutrition consult a through your pcp. Take iron and Folic Acid supplemets with otc medications/pcp recomm. Do search for proper food choices , rich in iron and folate n internet. ...Read more
Dx and treated B12 def with lvl of 78 five yrs ago, but now ferritin 13 (12-250ug/l) and folate (folic acid) 6.3 (4-20ug/l), should these levels b supplemented?
Iron: There is certainly no harm in supplementing your folate (folic acid) (must continue your b12!) but that level seems fine. Your ferritin level seems low and most likely indicates that there is not enough iron in your system. This too can lead to anemia. Iron supplements seem indicated. You should see your doctor to fully evaluated why your ferritin is low. ...Read more
My serum folate (folic acid) is 16.4ug/L & B12 is 221ug/L & serum ferritin is 22ug/L. Why is folate (folic acid) on the high end of normal & others on the low end of normal?
Nothing to worry abt: These are all in the normal range, and there is some give and take regarding the laboratory ability to give an exact value. Don't worry about these values unless they are way higher or way lower than normal. ...Read more
What's next? Iron low in range; iron saturation below range; ferritin low in range; folate (folic acid) excessive.
Need more: Data. Is the patient anemic?Get a more detailed answer ›
Ferritin is protein complex that binds iron and controls iron levels inside all of our cells. Low levels in the serum is a useful marker of iron deficiency. Macrophages are cells that contain large amounts of ferritin, and this that helps them scavenge RBC at sites of old hemorrhage. High serum ferritin levels occurs from macrophage activation and is a ...Read more