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I was diagnosed with anemia in October following a case of shingles. After 4 months of iron (625 mg daily) I am still anemic. My doctor now wants a complete GI series as well as a bone marrow biopsy. This seems extreme to me for a case of anemia. Here are my labs. Any thoughts?

WBC 7.0
RBC 4.44
HGB 9.3
HCT 29
MCHC 30
MCV 62.5
PLT 378
Ferritin <1
Retic 1.0
[QUOTE=daisybeth]I was diagnosed with anemia in October following a case of shingles. After 4 months of iron (625 mg daily) I am still anemic. My doctor now wants a complete GI series as well as a bone marrow biopsy. This seems extreme to me for a case of anemia. Here are my labs. Any thoughts?

WBC 7.0
RBC 4.44
HGB 9.3
HCT 29
MCHC 30
MCV 62.5
PLT 378
Ferritin <1
Retic 1.0[/QUOTE]
It may be due to other tests that you are not thinking about. The blood tests do not seem too out of balance. But, if the doctor has other tests such as kidney or liver function tests as well, there may be a good reason. The reticulocyte count is not over 5 either so there must be other tests in combination with your CBC that he is considering.





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