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Hi Kecia - It seems that you are mentioning both blood transfusion and iron infusion and the first thing to know is that your hemoglobin count should be playing a large factor in determining either of those courses of action.

Typically a blood transfusion is NOT warranted if you have a hemoglobin above 8 (this will vary slightly by area and Doctor if you are hovering around 8) because there are inherent risks, and it is when the hemoglobin drops below that level that it really impacts the movement of oxygen through your body - and there is a risk of damage that outweighs the risk of the transfusion. I actually hit 7.8 and had to get a blood transfusion last Friday and I can say that it scared me a lot, but was definitely needed, and made an immediate improvement. That being said - I have to mention again, that if you hemoglobin is normal I would seriously be questioning why they are considering a blood transfusion and definitely get a second opinion as recommended by Merimac.

As for the iron infusions, I am slated to start my first one this week, so I don't have much information, but again, with a normal hemoglobin I would be wary here as well because too much iron can cause some really nasty problems.

My personal opinion here is that you should get your lab results to review yourself and talk to your Dr about WHY your ferritin is dropping (you could certainly find your hemoglobin dropping next) but it is really important to try and get to the root cause - too many doctors are treating anemia just as a condition but it isn't - it is a symptom of something else, and if you don't go after the root cause you will end up in the same, or a worse situation. If they are still pushing transfusion / infusion and your labs are normal, you really do want to seek out another Dr for another opinion.

Good luck - let us know how it goes!

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