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Hi,

it appears that my family doctor is letting the others decide when and how to treat my anemia. I know there are treatment guidelines for people with anemia of CRF to help with that. I think I need to be below a certain Hg level before any intervention is required.

When going over various lab results recently, my doctor commented on my low iron, asking if I was taking iron supplements. I said I wasn't. That seemed OK with him. Perhaps taking supplemental iron for a person with reduced kidney function is considered a waste of time? I read that oral iron supplementation in people with chronic renal failure cannot maintain adequate iron levels, which is the reason the iron is usually administered intravenously along with erythropoietin. What happens is that the damaged kidneys don't produce enough of a hormone erythropoietin. Erythropoietin is the main regulator of red blood cell production in the bone marrow. This and many other factors result in anemia.

The pharmacists at my pharmacy are great. :) I find their help with side effects and drug information invaluable. Their expertise becomes really important to a person on a number of medications with concerns about their (relative and untested) safety. I feel very grateful for their help. Unlike some of our doctors, they are never too busy to discuss drugs and side effects. :)

flowergirl
[QUOTE=flowergirl2day;3993033]Hi,

it appears that my family doctor is letting the others decide when and how to treat my anemia. I know there are treatment guidelines for people with anemia of CRF to help with that. I think I need to be below a certain Hg level before any intervention is required.

[COLOR="Purple"]This must be really difficult for you. Frustrating to say the least. But I am glad that you are doing a little better.[/COLOR]

When going over various lab results recently, my doctor commented on my low iron, asking if I was taking iron supplements. I said I wasn't. That seemed OK with him. Perhaps taking supplemental iron for a person with reduced kidney function is considered a waste of time? I read that oral iron supplementation in people with chronic renal failure cannot maintain adequate iron levels, which is the reason the iron is usually administered intravenously along with erythropoietin. What happens is that the damaged kidneys don't produce enough of a hormone erythropoietin. Erythropoietin is the main regulator of red blood cell production in the bone marrow. This and many other factors result in anemia.

[COLOR="Purple"]This same thing happens with Hypo-T I wonder sometimes if this is not the problem for the people with Hashi's and we haven't tested for it yet. Interesting though.[/COLOR]

The pharmacists at my pharmacy are great. :) I find their help with side effects and drug information invaluable. Their expertise becomes really important to a person on a number of medications with concerns about their (relative and untested) safety. I feel very grateful for their help. Unlike some of our doctors, they are never too busy to discuss drugs and side effects. :)

[COLOR="Purple"]Many times the pharmacist helps me much more than the doc's office. I do rely on mine too. :) Take care. FLFG :wave:[/COLOR]

flowergirl[/QUOTE]





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