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Iv Iron Sucrose
Are venofer and ferritin ivs the same chemically? I seem to have different results from these iron infusions, with better results from the slow drip.
No: Venofer is an IV iron supplement, ferritin is a blood test used to estimate iron stores. I suspect that you mean ferrlecit, (sodium ferric gluconate) which is another form of IV iron. Both of these drugs work well in general. Specific patients may differs. Discuss with your doctors. ...Read more
Hx venofer 2009-12. Currently ferritin 139,TIBC 343,iron 59,% sat 17. Some of same Sx retuning (hair loss, ridged nails). Should I take oral iron?
No: You are not iron deficient. See a dermatologist for diagnosis. You might have alopecia areata or another cause for your symptoms. ALSO note that iron deficiency, if very severe and prolonged, may cause thin nails which are caved in like a spoon. Not ridges. Hair loss is listed in older texts as due to low iron. But in the only rigorous study of it it was clear that iron deficiency is not a cause o ...Read more
Very low iron even w/ Venofer. HGB and HCT normal. MCV is normal but RDW is 19.2%. Folate, (folic acid) B12, etc = normal. Could this be myelodysplastic syndrome?
Low iron: Is it definitely iron deficiency?What is the level of iron , TIBC and ferritin level. How about the WBC and platelet. What is the retic count.? It is difficult to diagnose MDS without a bone marrow picture which can also evaluate the bone marrow iron and special tests for MDS. Discuss with your PCP. She can refer you to a hematologist. I hope this will help you . Take care ...Read moreSee 1 more doctor answer
What is the thought on iron deficiency. Fifteen yr old has had two rounds of venofer and ferritin peaked at 77. Has dropped again and is now 24. She has slowed recently on growth she is very athletic. She doesn't se to have heavy periods. Was not able to
See doc: Iron deficiency is from lack of intake, excess loss (e.g. Bleeding from urinary, gyn, GI sources), and poor absorption, e.g. Celiac sprue (true autoimmune inflammatory reaction to proteins in wheat, rye, barley, spelt, some other grains), inflammatory bowel disease, such as crohn's disease or ulcerative colitis, or some occult source of blood loss. ...Read more
Not really, depends: You can try oral iron pill to restore your iron store first. If you experience intolerable side effects such as consipation or other GI symptoms or oral iron ineffective, then IV iron can be considered as indicated. Oral iron is just as effective. Large number of hypothroid patient are found to have low iron level. Make sure your thyroid function is ok. ...Read more
Dynamic response: It is a dynamic response (not exact number). Usually, you see retic count begin to rise at day 3, maximize in 1-2 wks. Hb begin to rise in day 7-10, can increase by as high as 2gm at 4th wk. Reticulocyte hemoglobin content and % of hypochrome reticulocyte are mush suprior than absolute reticular count in predicting bone marrow response to iron therapy. ...Read more
What are the side-effects of IV iron? Will I have to get a port for infusions or will they use a regular IV? I'm getting them 1x/week for 8 weeks.
IV iron: Studies show IV iron can cause bloating or swelling of the face arms legs, blurred vision, chest pain, shortness of breath, chest pain, and several other side effects. IV iron is needed in the setting of anemia and a peripheral IV can be started weekly. The side effects can be watched for and are not guaranteed to happen. If indicated the benefits outweigh the risks. Focus on benefits. Good luck. ...Read more
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