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First off, let me state that I am no expert. I, myself, am going through the process of trying to determine exactly WHY I am iron deficient. I am a 43 year old woman. To me, my menstrual cycles seems normal with only heavy bleeding for about 24 hours or so. I am taking Spatone Liquid Iron and in the 6 weeks I've been on it, my Hemoglobin, Hematocrit, etc, improved so that I am no longer considered anemic, however, my ferritin is still at 5. I know it takes a long time to bring that up. Anyway, I will be having a colonoscopy and upper endoscopy next week to rule out the GI tract as a source of bleeding.

In your case, since you've taken care of the possible gynecological cause of anemia, you need to have this further investigated.

Even though you are young, it is not unheard of to have a bleeding polyp in the colon or some ulcers in the stomach that bleed. Your chances of this are low, but it does happen. So, I think you need to look into having that test done.

If that comes out okay, your doctor needs to do further labwork (possibly using a hematologist) to determine if you have some bone marrow dysfunction that is causing this or some other type of illness that would cause destruction of your red blood cells. Certain disease (such as lupus) could cause something like this.


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