Suffering from anemia, hair fall, bruising easily. Taking irospan. Low iron levels. Treatment?
Patient: i had anemia my doctor says it s fine now ,i also had rny surgery in 2005 i want to know how i can bring my ferritin level up it was 0.9 and after weeks of irospan it got to 17 but i feel that i still way to low my doctor don t agree how can the numbers be such a wide range 0.8 - 250.0 whose to say that i feel fine when mine is below 20 my hair is falling out and i bruse easy,and i m so tired no matter what i tried to tell my dr. from what i read most dr.s like to see it at 100 what do you think.sorry but i don t have any money at all i had to stop working due to being so sick ,thank you anyway Doctor: If you had a RnY surgery you are not able to absorb iron taken by mouth (most iron is absorbed in the duodenum, which is bypassed in a Roux en Y surgery). Ferritin is still low, but the best test is to get your iron saturation. You also need your hemoglobin checked. You will probably need iron infusions regularly until you get to normal levels, and then just every once in a while. Also make sure you get your vitamin B12 shots, and other vitamin supplements.