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What does elevated RBC 5.51, RDW 14.9, neutros 8.0 neutrophilia with low MCH 25.6, mchc 318, low ferritin 6 after 3 months of iron pills was 4 mean?

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Dr. Liawaty Ho
Internal Medicine - Hematology & Oncology

In brief: Iron def

If your ferritin is still 6 after taking the iron pills for 3 months- that means you do not have a good response from the iron pills.
That could be due not absorbing well or you continue to bleed heavily etc. First, make sure you take iron 3x/day-take it in empty stomach with orange juice or vit c. If still low- consider IV iron. Also check with gyne if you have heavy periods and f/u with pcp.

In brief: Iron def

If your ferritin is still 6 after taking the iron pills for 3 months- that means you do not have a good response from the iron pills.
That could be due not absorbing well or you continue to bleed heavily etc. First, make sure you take iron 3x/day-take it in empty stomach with orange juice or vit c. If still low- consider IV iron. Also check with gyne if you have heavy periods and f/u with pcp.
Dr. Liawaty Ho
Dr. Liawaty Ho
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1 comment
Dr. Liawaty Ho
if you are already taking the iron the right way and you have no heavy periods. check with your MD- to eval what is the cause of your iron def anemia- there is a possibility that either you are not absorbing iron from your food ( your MD can check this) or you loos blood somewhere. You likely need IV iron therapy as you dont have good response to oral iron.
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