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Doctor insights on: Will Reversal Of Gastric Bypass Cause Low Iron Levels

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If ferritin level is high (double uln) but iron and tibc are low in pt. With remote gastric bypass, is iron replacement still recommended.?

If ferritin level is high (double uln) but iron and tibc are low in pt. With remote gastric bypass, is iron replacement still recommended.?

Probable: A high ferritin can be interpreted as an acute phase reactant or chronic inflammation, but if your iron level is low, this can suggest deficiency. Having gastric bypass does cause iron absorption issues including others such as calcium. Routine specific labs are recommended for all bypass patients. Have your primary take a further look at this whether you would need chronic iron supplements. ...Read more

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Dr. Gregg Nishi
473 doctors shared insights

Gastric Bypass Surgery (Definition)

Gastric bypass surgery is a restrictive and malabsorptive procedure to help lose weight. Restrictive is in the fact that the stomach is down sized to a 2 oz pouch and malabsorptive is in bypassing part of the stomach and 100 to 150 cm of the small ...Read more


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Was deficient in some vitamins due to malnutrition. Also have low platelet counts (as low as 80,000). Can the malnutrition affect my platelet count?

Was deficient in some vitamins due to malnutrition. Also have low platelet counts (as low as 80,000). Can the malnutrition affect my platelet count?

Yes : Malnutrition can effect all your systems. Maintain a good diet and get checked by your physician periodically to ensure full recovery. Platelet count of 80,000 is relatively low but not worrisome if it keeps improving ...Read more

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What can cause low absorption of iron (Ferritin 39) & omega3 fatty acid (HDL cholesterol 35) for 50+ female even after taking the right diet ?

What can cause low absorption of iron (Ferritin 39) & omega3 fatty acid (HDL cholesterol 35) for 50+ female even after taking the right diet ?

Vit C: There are many reasons for vitamin deficiency. To absorb iron you must take vitamin C as well. If person taking any kind of anti acid- omeprazole, nexium, (esomeprazole) and others of this type- it will decrease absorption of many nutritional substances. ...Read more

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What will impact be after bypass surgery in case of high troponin t?

What will impact be after bypass surgery in case of high troponin t?

Always goes up: The troponin t rises whenever heart muscle is injured. There is always some heart injury with bypass surgery (this is normal) and the troponin t always is elevated afterward. Not to worry. ...Read more

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Previous ida. Now high B12 and folate (folic acid) levels. Ferritin result is not back. Significant hair loss and sob? Could high folate (folic acid) mask B12 deficiency? Thx

Previous ida. Now high B12 and folate (folic acid) levels. Ferritin result is not back. Significant hair loss and sob? Could high folate (folic acid) mask B12 deficiency? Thx

Masks anemia only: High folate (folic acid) can mask megaloblastic anemia caused by B12 deficiency but does not affect B12 levels. The high B12 levels you have are proof that you don't have B12 deficiency. I don't know what ida is. Hair loss ; sob can have many causes. It sounds like you are being evaluated for possible causes. ...Read more

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What is the optimal serum ferritin level for hair health? Can heavy periods and/or a vegetarian diet w/inadequate iron intake cause low ferritin level

What is the optimal serum ferritin level for hair health? Can heavy periods and/or a vegetarian diet w/inadequate iron intake cause low ferritin level

See below: Ferritin levels are not associated with hair health. Heavy periods and vegetarian diet could lead to iron deficiency, and low serum ferritin. It can be easily addressed by taking oral iron and multivitamins. 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. ...Read more

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Unintentional weight loss. Low iron levels low b12 and folate (folic acid). Can't get answers. ?

Unintentional weight loss. Low iron levels low b12 and folate (folic acid). Can't get answers. ?

Wt loss, low iron : Could be from a vast number of possibilities. This question requires more information. A good history, physical exam and scrutiny of current , past and future bloodwork will all help piece together this puzzle. In general low iron in healthy premenopausal women is usually from menstruation or pregnancy. The weight loss is somewhat worrisome. Highly recommend a formal consultation with a doctor. ...Read more

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Wiki says B12 injections can cause transient drop in k levels through rapid intake of k into RBC production. Hypokalemia. T or f?

Wiki says B12 injections can cause transient drop in k levels through rapid intake of k into RBC production. Hypokalemia. T or f?

"Anecdotal": And transient. And only reported when people are severely deficient. A B12 injection in someone gravely sick from pernicious anemia causes a massive rebound in the marrow, with as much as a pound of new vital blood-forming in a few days. Why extra k is required at the time. This has been misrepresented by "pop" amateur doctors. I'm glad you're skeptical about internet distortions. Best wishes. ...Read more

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My iron is low. Hemoglobin low side of normal,ferritin 7, saturation 9%. Dr suggested iron ivs. Is this safe? Risks side effects and chances of thwm.

It's your call: I think they're safe enough, the chances of serious harm from them is low, and you'll feel better faster. Some folks do get sickish during the infusion. I do trust that a cause for your iron deficiency has been sought adequately -- I've seen colon cancer missed in a woman in her 20's with fatal results. If you're deficient due to monthy loss, talk about supplements; if from reflux, Rx'ing this. ...Read more

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Can candida be the cause of my defenices I have low iron, low sugar,low potassium & low vitamin D ?

Can candida be the cause of my defenices I have low iron, low sugar,low potassium & low vitamin D ?

No, other way: These deficiencies may be making you susceptible to candida infection. Candida infection is not causing the deficiencies. You can take over the counter supplements for iron, vitamin D and to make up for potassium, eat a couple of bananas each day; these will also provide sugar. ...Read more

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In PCOS patients can high bioavailable testosterone cause high LH, or does the high LH cause bio test to increase? Insulin, total testosterone normal.

In PCOS patients can high bioavailable testosterone cause high LH, or does the high LH cause bio test to increase? Insulin, total testosterone normal.

Testosterone: testosterone production in females in mostly from the theca cells of the ovarian cortex, stimulated by LH from the pituitary. High testosterone may feedback to suppress LH, but not the other way around. The amount of available (free) vs. bound is not directly influenced by LH. ...Read more

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Can a high level of dhea cause weight gain in the abd area? Dhea level 650. Thanks

Can a high level of dhea cause weight gain in the abd area? Dhea level 650. Thanks

Not really an: Association. It's more likely that the cause of your elevated DHEA levels is responsible but still very well could be unrelated. To be able to better guide you, it would help to understand why a DHEA level was checked, like for an eval for PCOS or too much body hair(hirsuitism) or male pattern baldness in a women? ...Read more

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Can aspirin(50 mg daily)and Coumadin (warfarin) cause deficity of iron. Hemoglobin of my 10 month old is 106, how to increase hemiglobin without iron sypplements?

Can aspirin(50 mg daily)and Coumadin (warfarin) cause deficity of iron. Hemoglobin of my 10 month old is 106, how to increase hemiglobin without iron sypplements?

Anemia: By your question it is hard to know if your child is taking Aspirin and Coumadin (warfarin) or somebody else. If a person is on Coumadin (warfarin) he is closely monitored. The combination of the two drugs can causemicroscopic bleeding . Nevertheless , by eating cereals you can replace iron. ...Read more

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What are the complications of having low iron saturation levels?

What are the complications of having low iron saturation levels?

Fatigue: Iron may not adequately deliver to bone marrow to produce new red blood cells. Iron may not transfer to other tissues like muscles. ...Read more

Gastric (Definition)

This refers to something that is ...Read more


Iron (Definition)

In the metal group ...Read more