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[B]"The level/stage of your anemia is considered to be moderate, not serious/severe and not life threatening. [U]This is according to what they say at each stage.[/U] On the other hand my sister had this surgery and when she became anemic with a 9 ferritin her bariatric SP? specialist told her (maybe to scare her, I don't know) that he has seen a 22 year old have a heart attack and die from this. I guess it depends on your condition and if you already have any problems that might put you at further risk during this period. You should ask your doc that question. I had palps very badly with tachycardia and didn't die, with a ferritin of 2, which is very low."[/B]

I am going to guess that your sister had a RNY Gastric Bypass. My surgery was very, different from that. Of course I am working with my PCP who is in close (sometimes several times a day) contact with my surgeon.
My Ferritin level IS 2, and yes, that is vcey low, and I AM having palpitations and orthostatic hypotension and orthostatic tachycardia - continual feleling of lightheadedness merging into dizziness periodically. Docs are aware, and I am waiting on their advice as my fingers speakj to you.

Can you refer me to a site that explains the "level/stage"s of anemia and iron/ferritin levels?

[B]"Even if you have IV I think that it takes weeks to show improvement. This is also not without risk. Perhaps they would prescribe IV because of your malabsorption, but not always. It really depends on the doctor. I hope you are seeing the right type of doc for your condition. Regarding blood transfusion, my doc told me around 7 hgb that might be appropriate. What types of oral iron have you tried that were not successful for you? FLFLOWERGIRL"[/B]

I agree that a 7 hgb or less would certainly merit transfusion - however, the hgb can't (or at least shouldn't, in my mind) be taken as a stand alone result and should be interpreted in consideration of the extremely low iron and ferritin results. Therefore a higher hgb becomes more ominous with the extremely low ferritin and iron, does it not?

I have never heard that it still takes weeks to show improvement after infusions. It was my understanding that infusions could get you back up to speed, so to speak, rather immediately, and then supplementation could possibly maintain that level - IF you are able to absorb the supplements. Absorption is my downfall.

I have tried every OTC iron supplement available in brick and mortar pharmacies and I think every kind available online, too. I have been through several different RXs, up to and including Repliva. I have always had a cast iron stomach that could handle anything and never ever had any bad side effects or ever any allergic or adverse reactions to any medications whatsoever - so I have been really surprised that I can not tolerate iron supplements of any kind (so far).

So, getting back to my question... do you (or does anyone) have any references or citations for the levels of anemia (mild,moderate, severe, for example) and the clinical manifestations of low iron and low ferritin levels?) (A friend who is a nurse practitioner was very alarmed at my low iron and ferritin levels and wanted to know if I was bed bound or having trouble breathing and was worried my heart would stop.)





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