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Hi Kezzalou, it sounds like you have several conditions, welcome to the club, hypothyroid, B-12 and iron anemia. If all three conditions are not corrected, you will have symptoms of shortness of breath, tiredness, etc. As I said my hematologist said ferritin levels below 50 can lead to anemia. I know most lab does not flag until you are under 10, therefore, most pcp will not see it as an issue. It can take several weeks for you to feel better on corrective thyroid meds ,ie synthyroid. It can take several months if you are anemic to feel a huge difference even with iron replacement. But in my case, my iron goes up after the IV and then back down, thus causing symptoms to continue. I take previcid for gastris, but I know this medication and other PPI will interfer with synthyroid and oral iron, vitamins and iron in foods. I do not take my meds at the same time, I usually wait few hours.

What is your hemaglobin count? You are consider anemic for a woman 10 and under. You can be have low ferritin with normal hgb, whereby you are not consider anemic, but have iron deficiency which could lead to anemia if left untreated. If it were not for the chest pain, shortness of breath and the extreme fatgue, I prob would not have bothered going to the dr two years ago when they my blood test came back really abnormal, with anemia, hypothyroidism, no ferritin, high cholestrol, and I had really high blood pressure. I thought I was having a heart attack which scared me enough to go to the dr in the first place. Did all the heart test and good news, no heart problems.





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