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ChickieLou--Your right, your doctor probably did in fact write ferritin on your lab requisition. Sometimes the lab techs miss the added things, if they are not checked in a box they can miss it altogether. This has happened in my family and it's a pain to go back for just that one test, but that's what you have to do to get those results. Whenever I get a chance to have a ferritin ran I'm all for it because this number changes often.

A lowered hgb would require iron supplementation before anemia sets in. Anything under 12 is considered to be mildly anemic.

The serum iron is the iron circulating in the blood at the time of testing. This is affected by foods or supplements that you are taking at the time of blood test. I think this test also help in determining what type of anemia you might have. My Hematologist never ran this test ever on me in a year. Although my PCP always runs an iron package on me.

The true picture (of iron) is the ferritin being most important, which tells you how much iron is left remaining in the stores for future use. There are 3 stages of lowered iron stores; 1. Is reduced iron with no clinical effects. 2. Iron depletion shows hgb below normal range 3. Iron deficient, no iron is left remaining in the bone marrow hgb is well below range and anemia (IDA) is diagnosed. An important fact is that you can have ~lowered iron stores~ and not be anemic w/ normal hgb values.

When you get your lab numbers we can tell you more then. Hope this helps. FLFLOWERGIRL:)
If you were having periods as you described, you can most likely bet that your ferritin is on the low end. I would ask for this test now. If your doctor prescribed iron supplements for you I wouldn't worry too much about taking them, especially for 3 months time.

If you are still anemic in 3 months it may be because you are not on a high enough dose of iron to begin with. You have to be able to replace what is lost (the correct dose) and if not enough is taken in, there you go. If the blood loss has been corrected then you should have good results.

I had Resistant Iron Deficiency Anemia for many reasons. Now I am finding out that I am also having malabsorption due to long term PPIs which causes ineffective iron intake. After the periods were fixed I was then able to start holding some iron, but I didn't do that until 6 months after being anemic. I am still rebuilding my stores over a year later.

Hematologist regarding anemia are to sort out problems in the blood usually reflected in your CBC and/or administer IV iron therapy. FLFLOWERGIRL:)

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