Doctor insights on:
Decreased Hemoglobin: Red blood cells (rbcs) are essentially little bags carrying lots of hemoglobin (hb). Iron is an important constituent of the hb molecule. Low iron = low hemoglobin = less packing into rbc. Since the RBC is now filled less, a microcytic anemia results. ...Read moreSee 1 more doctor answer
Low vitamin B12.: pernicious anemia is a LOW vitamin B12 state. This occurs when the body fails to make enough of a specific protein to enable the body to absorb vitamin B12. This usually occurs when the immune system attacks a specific cell in the stomach that produces the needed protein. Since the body can't absorb vitamin B12 through the stomach it can be given in a shot and even under the tongue. ...Read more
Why do you ask?: Wilson's disease is a deadly genetic disease involving the liver and brain; you either have it or you don't, and any practicing physician can make the call. This isn't how it presents but if you're concerned, ask. "Wilson's syndrome" is a fad diagnosis involving thyroid, promoted by an individual without credentials, and anyone who reads the symptom list will usually think they have it. ...Read more
Early IDA possible: Hypochromic suggests low iron (which can be measured by ferritin, transferrin, etc). Usually this would be from blood loss. Usually iron deficiency anemia (ida) is also assoc w/ microcytic (low mcv) red blood cells (rbcs). It depends on the numbers, other tests & history, but could be early iron deficiency/blood loss &/or more than one process -- eg b12/folate deficiency & ida. See md. ...Read more
It can: Megaloblastic anemia is caused by a deficiency in vitamin B12 or folic acid. Taking metformin can cause your body to "use up" vitamin b12, and become deficient in b12, which, in severe cases, could lead to megaloblastic anemia. This can usually be corrected with a vitamin B12 pill, unless there is also a problem with absorbing b12. ...Read moreSee 1 more doctor answer
Severity and cause: Will depend on how severe it is and whether you are pregnant or not. If you only have mild deficiency-you probably don't have any symptom. If severe enough, tired, fatigue, dizziness, chest pain, shortness of breath can be the symptoms. In pregnancy iron is very important for the fetus. It is crucial to know what is the cause. Bleeding? Malabsorption, cancer? Etc- this needs to be found out. ...Read more
Ferritin13, Iron167, TIBC496,
Transferrin392, %Sat.34, Hemoglobin13.9
Is this anemia or iron overload?
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, the data you provided suggests that your iron stores at the low end, but you are not anemic.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more
It just does :): Hello- your body needs Folic Acid to make red blood cells properly. If you do not have enough it compromises the process. The body will not be able to produce red blood cells as well (anemia) and they will be bigger than normal red blood cells (megaloblastic = big). Thankfully some Folic Acid replacement should fix the problem quite easily. ...Read moreSee 2 more doctor answers