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I'm currently taking Feosol (Carbonyl Iron) @ 45mg per day, as per my doctor's intructions. Given that my ferritin level is 5 and my iron is low (both have been low for some time), should I be on a higher dose of iron? It seems low to me, and my numbers haven't improved in some time.

My symptoms are horrible right now. Brain fog, painfully fatigued, brittle/shedding hair, nails breaking, palpatations, headaches, body aches, restless leg (so bad!), etc. I don't know that the anemia is causing all of that (and other problems I didn't mention), as I'm dealing with health issues with overlapping sypmtoms (Hashimoto's - TSH is still very high, SVT, endometriosis, disc and nerve problems, fibro).

Until recently my B12 was low, but shots helped me get back to a good level. Now that I'm off the bi-weeklly B12 shots, my symptoms feel worse.

Anyway, any advice on what I should be discussing with my doctor would be appreciated. I'm spending most days in bed (and working from bed) and long to feel better than this.

One additional point (on edit) is that I have very heavy periods. They last 6-7 days and my cycle is often 21 days or less.

If it's any help, here are my full lab results and ranges (as of one week ago) for CBC, Iron, Ferritin and abnormals from my Urinalysis:

CBC w/Differential/Platelet
WBC - 10.0 (4.0-10.5)
[COLOR="darkred"]RBC - 5.12 (3.80-5.10) High[/COLOR]
Hemoglobin - 12.5 (11.5-15.0)
Hematocrit - 37.8 (34.0-44.0)
[COLOR="darkred"]MCV - 74 (80-98) Low[/COLOR]
[COLOR="darkred"]MCH 24.4 (27.0-34.0) Low[/COLOR]
MCHC - 33.0 (32.0-36.0)
[COLOR="darkred"]RDW - 19.0 (11.7-15.0) High[/COLOR]
Platelets - 358 (140-415)
Neutrophils - 66 (40-74)
Lymphs - 24 (14-46)
Monocytes - 5 (4-13)
Eos - 4 (0-7)
Basos - 1 (0-3)
Neutophils (Absolute) - 6.7 (1.8-7.8)
Lymphs (Absolute) - 2.4 (0.7-4.5)
Monocytes (Absolute) - 0.5 (0.1-1.0)
Eos (Absolute) - 0.4 (0.0-0.4)
Baso (Absolute) - 0.1 (0.0-0.2)

[COLOR="DarkRed"]
Iron, serum 21 (35-155) Low

Ferritin, Serum 5 (10-291) Low[/COLOR]

Urinalysis
[COLOR="DarkRed"]WBC Esterase - Trace (Negative)
Occult Blood - 1+ (Negative)
WBC - 6-10 (0-5)
Bacteria - Moderate (None/Few)[/COLOR]


Thanks for reading all of this :)
:wave: Thanks so much for your response. I really do appreciate it.

You're right, I'm not actually anemic now. I was (Hemoglobin was lower a couple of months ago). As for my B12 levels, I started just below 200, and now I'm up to 410 (pg/ml). My doctor's goal was to get me over 400, so we've stopped the shots. He'll run B12 tests again next month. In the meantime, SL B12 is a great idea.

I am on synthroid, and have been for the last 8 years. I don't take it near my iron, but thanks for the reminder. My TSH has only been in range once, for a few months, in all that time. It's been consistedly high (hypo) for ages now. It's a rough process, as I don't respond well to synthroid increases (get hyper symptoms with even the smallest increase, even though lab results show hypo). We (doc/me) recently had to lower my dose temporarily as my sypmtoms were so hyper, while my TSH was well in the double digits still. We'll try to go up to the next higher dose again next month. I don't mean to get too sidetracked on the thyroid stuff, but as you mentioned, it can mimick so many of the same problems of low iron/anemia.

As for stopping the blood loss, this is something I've given a lot of thought. I see in your sig line that you've had endometrial ablation. Are you happy with the results of the procedure? I'm researching it now, and I've long considered bringing it up to my GYN.

I was taking PPIs until a few months ago, bit I'm off them now until my iron stores increase, and I'm adjusting my diet and meal schedule in an attempt to reduce GERD sypmtoms until then.

Truth is, I'm dealing with a lot of health issues now (in addition to the ones I mentioned), and even my doctor is torn about which problem is causing which symptom. I think I'm bit depressed/anxious about it all now and the lack on energy (along with stress, insomnia and constantly feeling "cruddy") is getting to me. I just want to figure out how to get my life back.

I'll definitely bring up the points you mentioned to my doctor.

Thanks again, FLFLOWERGIRL!





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