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I don't think a hematolgoist is ever bad idea. It can't hurt to go. So far, I have not gotten to that point myself, but I am gradually increasing on my ferritin. But like you, I've found that I'm kind of "stuck" in the 20s right now.

How much iron are you taking per day? It could be that it is just not enough to compensate for the loss of blood that you experience monthly. Also, rather than deal with iron for years, have you considered doing any procedures that would lessen your menstrual flow such as a Mirena IUD or an endometrial ablation? Many anemica women have had success with these procedures in correcting their heavy periods an anemia.

As to exercise--it is safe to do it but you will feel tired. I am the same as you. It takes weeks to recover from a 30 minute walk. This is up to you if you want to tolerate it. I couldn't and didn't exercise for years. I am paying for it now because, while I'm feeling a bit better, I am so deconditioned now that it's tough getting my strength back. Strenuous exercise also does destroy some red blood cells, but mild to moderate exercise shouldn't cause a problem.

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