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New lab work results are in from 2-19-09 and have improved:

FE(iron) 121 (range 35-150) last one 155 high
UIBC 89 low (range 126-382) last one 48
TIBC 210 low (range 250-450) last one 202
Transferrin Sat 58 (range 15-60) last one 77
Ferritin 30 (range 5-204) last one 28
Alk Phos 39 low (range 40-150) last one 47
Hematocrit 39 (range 36-46) last one 41
Hemoglobin 13.1 (range 12.0-16.0) last one 13.7
RBC 4.02 low (range 4.20-5.40) last one 4.18 RBC have been low consistantly low over many years

Since the concern was high iron and high Transferrin and low UIBC and low TIBC numbers look better, although I know most people on the anemia board are trying to go in the other direction. I am not sure what has made a difference as I haven't changed anything.

Vitamin A- I am researching levels of Vitamin A and it looks like 3,000 IU is recommended for women, but okay to take up to the tolerable level of 10,000 IU without toxicity unless pregnant. I take 6,400 IU in the two multivitamins recommended by my MD, plus carrot juice and a mango daily due to night blindness a few years ago with other eye problems related to celiac malabsorption which have resolved. I called the vitamin company today as the vitamin A is listed on the bottles as from Palmitate, fish, and mixed carotenoids from palm tree fruit along with alpha carotene 8mg and beta carotene 30mg. Only 47% of the vitamin A is palmitate, the type that can be toxic, so my total from the two multivits for palmitate is 3000 IU daily. The rest is from carotene, the kind found in food and that is not toxic. So it looks like I am okay.
The interesting thing I came across in an endocrine magazine I get at work is that Vitamin A intoxication can be the cause of increased osteoclast activity and osteoporosis and even an intake of just twice the RDA (3,000 IU) may decrease BMD and increase fracture risk. Also that chronic Vitamin A intoxication can also accelerate hair loss. Since I do have osteoporosis, I will check with my nutrition MD on my vitamin A levels when I see him next time.


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