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Hello and Welcome although I'm sorry that you have had to join us. It is a little unusual for a young male to be diagnosed with IDA so it is good that your doctor is scheduling the colonoscopy. If your ferritin and iron are low it can mean that you are losing blood somewhere through internal bleeding so that is what he wants to check out. You have to find out whay your levels are low. Do you donate blood on a regular basis? Another problem for the IDA is celiac - have they done a celiac blood test on you? you should ask for one. by any chance do you take a PPI? you know like Nexium or Prilosec? it is possible to have malabsorption due to PPI's. Do you know if they tested your B12 levels? that is important to know.

Don't be afraid of the c'scope - it is really not that bad. The prep is not pleasant the day before but the actual procedure will be done while you are sedated (be sure to tell the GI doc that you don't want to be awake) and you will not feel a thing. As soon as I was diagnosed with IDA I was sent for a c'scope even though I had one just 18 months prior. They may also want to do an upper endoscopy to see if there is any bleeding in the stomach. the c'scope doesn't see the stomach.

It is very possible to have low ferritin and iron yet have normal hemotocrit and hemoglobin levels. You are considered clinically anemic when one of the three Hgb, Hct or RBC fall below range. My numbers were similar: ferritin was a 5 and iron was 25, saturation was 5 but H & H were okay.

After the scopes showed no bleeding, they started me on iron supplements: Poly Iron 150 mg tabs two times a day for a total of 300 mg a day. I took them for 5 months from November to April. Since my Ferritin rose to 40 and Iron improved to 55 the Doc said stop the supplements and come back to see me in 6 months. My %Saturation only went to 16 which is up but still not normal but she's the doctor not me. I'm a little concerned obviously because it did not improve and my ferritin is not really that good. According to many of the gals here they say it needs to be well over 50.

Wish you the best - keep asking questions here and at the doctor's office. You need to stay on top of your health and be sure to get copies of all blood tests and reports from procedures like the scopes. It sounds like your doc is on top of things but you can never count on anyone but yourself so you ned to be your own advocate.

Hopefully some of the "experts" will chime in with some advice for you. I'm laearning as I go along.

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