Doctor insights on:
Is Folate Iron
Unclear question: Iron deficiency is common in women due to blood loss during menstruation. It would be appropriate for you to take oral iron supplement with multivitamins. Take iron with meals and if constipation becomes an issue take a fiber laxative like Metamucil. 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, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
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
No: Pernicious anemia is an inability to absorb vitamin b12, which is a complex process requiring an intact and functioning stomach, exocrine pancreas, intrinsic factor, and small bowel. By comparison, Folic Acid is much more easily absorbed and those with pernicious anemia should have no problem absorbing folic acid. ...Read more
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
MCHC: MCHC=mean corpuscular hemoglobin concentration This value is a calculated value of hemoglobin per red cell. In iron deficiency the body has difficulty making enough hemoglobin, and the resultant cells are both small and low on hgb. The defect with PA is not with hgb synthesis but with cell replication and nuclear maturation, so the amount of hgb/cell is unaffected. ...Read more
Matter of degree: When iron intake is inadequate for a prolonged period, iron storage in body is depleted. This is called iron deficient state. When this iron deficient state continues and iron store is further depleted, anemia develops, namely iron deficiency anemia. ...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
Serum b12> 1999 mma 0.4, homocysteine high 19. No folate (folic acid) or iron deficiency normocytic anemia not responding to procrit. Is this an absorption issue?
Anemia: can be caused by blood loss or bone marrow suppression as well. More information is needed ( how long have you had a normal iron, folate (folic acid) and b12 level. What is your reticulocyte count ? ( is your bone marrow producing new RBC's) ? How low is your HCT and has it come up or gone down with B12. Is the RDW elevated ( do you put out large and small RBC's at the same time? Any blood loss ? ...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
Fairly: B12 def more common. Ideal lab value for serum B12 is 800 or more. Possibly due to gluten sensitivity which can damage gut lining and promote malabsorption. Also hypothyroidism can cause decreased stomach acid which can impair digestion and absorption. Take methylcobalamin supplements. ...Read more
- Talk to a doctor live online for free
- Folate and iron
- Iron b12 folate supplement
- Foods high in folate iron
- Ask a doctor a question free online
- Iron deficiency vs folate deficiency
- Iron deficiency anemia vs folate deficiency anemia
- Folate and alcoholism
- Talk to a gynecologist online for free