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I just found out in March that my Ferritin level was low, 6. Normal is 22-291. My CBC was normal though. I also have hypothyroidism and started taking a T4 med in January and started a T3 med in April. My symptoms have been aching and run down/fatigue. I started taking a liquid iron supplement and in 2months it raised my Ferritin to 11. I do feel like I am improving, but am not sure if this is due to my thyroid meds that I started or my liquid iron. I am definitely not feeling "normal" yet. Can a low ferritin level, but normal CBC cause aching and rundown/fatigue feeling? Or does your iron level need to be low as well to cause the aching and rundown/fatigue?
I don't know if this has anything to do with it, but my Neutrophils level over the years will occasionally drop below normal range. I have seen this in blood tests that have been ran. I'm not sure if the neutrophils will drop when you are not feeling right. I only have had blood tests when I have not felt right.
Here are some of my netrophil blood test results:
Standard range 2.1-7.7 K/uL
12/29/2010 3.3
3/1/2011 1.6
3/4/2011 5.3
Can this indicate cyclic anemia/nuetropenia?
Okay so your hemoglobin is okay (mines not)... I don't have the thyroid thing (but you do) nor has my doctor checked vitamin D or anything so not sure about that. But we DO have low Ferritin levels in common and we both have achiness and fatigue. Though my fatigue has gone down so much since I started taking the iron and vitamins 12 days ago that I feel amazing! I don't even need a second cup of coffee anymore!

Sorry, back to the question at hand. So my point is that maybe there IS something about the low ferritin that can cause our aches and pains and fatigue. I just had a bunch more tests done by a rheumatologist yesterday to see if I have other diseases that could be causing the arthritis symptoms.

I have more bloodwork being done next Tuesday for a CBC, Ferritin (again, after being on iron for 10 days) SED rate and RETICULOCYTE count. I'm DYING to see what my Ferritin count is... she had me go from no iron up to 975mg (farous sulphate) in the last 5 days, now I'm 5 days before the blood test on 975/day so I REALLY hope to see a rise in that level. I've been taking them with vitamin C and not touching anything dairy for 3 hrs after taking them to aid in absorbtion and am so hopeful!

Try to stay positive - I feel guilty for feeling so much better so soon when so many of you on this forum have been feeling crappy for years. Have your doctors been checking for 'blood loss' as the possible cause? I just can't help but to wonder how many others might have uterine fibroid cysts that are living off of our blood supplies but don't know it. Apparently 50%+ of women between the ages of 30 and 50 have fibroid cysts, some just have no symptoms. My cyst/tumor is HUGE (9.6 cm which i guess is the size of a cantaloupe) and my gynecologist didn't feel it during a routine pelvic exam. He didn't even feel it or see it when doing a pap smear - it wasn't visible until he did the ultrasound. But as I read about these cysts, they are like blood suckers (eek!:dizzy:) I can't wait to get this thing out I feel now like it's been taking my blood away from me for years. I just want to make sure that this avenue has been explored (the gynecological one) and even though I think you said you don't have heavy periods, it doesn't mean there might not be some of these hiding and quietly thriving and growing at your expense!:dizzy:

Please let us know if you find anything out, I'll keep you posted too if I find anything more out about your question ;)

Take care,

Michelle

Michelle
Hi Jenny: Like you I also have very low ferritin. I just made a little chart for myself (and to review w/ the MDs) b/c I'm trying to see if there is a trend. My gyno today tells me she suspect hypothyroidism for me so we did the labs and we'll find out. How stable is the number supposed to be? I see some people say it's ideal to be at 1. Mine was 2.10 in 9/2007, 2.219 in 5/2009 and then in 3/2011 it elevated to 3.46. that's why she suspected it could be problematic, even tho it's within range.

My ferritin level has also gone down gradually. It ws 9 in 12/2009, 7 in 12/10, and 5 iin 3/2011!!! So I am not beginning to read the posts and learning alot from everyone's experiences here.

has anyone noticed any trend in their cholesterol levels? I did in mine. I've noticed that my good cholesterol has dropped and my bad has gone up, tho gradual.This concerns me but i don't know how to interpret the numbers, so I will bring that up on my next appt. It is strange b/c i have been eating oatmeal regularly for a good few years and to see my good cholesterol drop gradually, I wonder somehow if there is some sort of correlation ?
[QUOTE=hmm82;4759277]what were your HGB and HCT levels?

yes I read that if the low ferritin involves very low iron stores in tissues (other than bone marrow), then you can have such symptoms. I was also worried myself because I got weird muscle pains and weakness but it seems to be related. my HGB(12.1) and HCT were tested to be in the normal range, just at the low end of it, MCV too low though, below normal. so I'm guessing bone marrow was making up for this by producing more RBC's, because cell count is higher than it was last year when I had better HGB and better iron levels.

so anyway, this is why I'm asking exactly where your HGB is in the range. also how about MCV and MCH?

what would really show if the tissues in general (such as muscle tissue - your aches, are they muscle aches??) are low in iron, is a soluble transferrin receptor test. if sTFR is high in the blood, then your tissues don't have any iron in them.
of course a low ferritin level will suggest this too, but I read in some articles that sTFR can be an even better marker.

PS: I don't know anything about thyroid stuff so no idea about the possibility of that problem causing the aches etc.[/QUOTE]

My HgB was 12.3 (11.5-15normal range) and my Hematocrit was 38.8(34-46). My MCV was 89 (80-100). My RDW was out of range, but of no concern to the MD. It was 15.3 and normal is 11.9-14.3. I'm not sure what the MCH is?
[QUOTE=Jenny95123;4759663]My HgB was 12.3 (11.5-15normal range) and my Hematocrit was 38.8(34-46). My MCV was 89 (80-100). My RDW was out of range, but of no concern to the MD. It was 15.3 and normal is 11.9-14.3. I'm not sure what the MCH is?[/QUOTE]

yeah, my CBC was not much worse than yours when I was tested (except for MCV which was too low)and I developed symptoms a couple of months before the test so at that time -when symptoms started- the CBC data could have been even better.
MCH is another piece of data about RBC's (mean cell hemoglobin i.e. on average how much hemoglobin is in a cell), but I guess that was in normal range for you (mine was, though at the low end).

if the iron supplements you've been taking don't fix your ferritin level *and* the symptoms after some more time then maybe there is another issue..
as for me, I feel a lot better after 3 weeks of iron (liquid iron mostly, a lot of it too), I would say 90% normal, so it seems 100% normal will take some more time.. a few days ago it wasn't even 90%, so this is a gradual process.
Hi Jenny: The symptoms i have had the past few yrs is just fatigue, exhaustion, weakness (esp during 1st few days of period), windedness /brethlessness when climbing stairs or doing aerobic exercise (which i have avoided for a couple of yrs b/c it makes me very lightheaded and uncomfortable that i feel i may past out). The internist that i just started seeing told me he thinks the windedness may be related to sth else so we are still trying to figure things out. It may be related to my lung capacity or heart so I will do an echo test in a couple weeks.

My severe anemia was diagnosed 3.5 yrs ago altho i may have had it unbeknowst to me longer than that. I had 3 submucosal fibroids which were removed in 5/2009. Since then my hemaglobin and hematocrit has gotten better (pre surgery 8 -9) and now they are fluctuating within range/borderline/or lower than the range but not by too much. According to the gyno she tells me i'm no longer anemic , based on the hema /hematocrit numbers. So we are still searching for answers. She suspected i had hypothyrodism, however the labs for T3 and T4 were normal she said, altho my thyroid number escalated. Do you mind telling me what your numbers are/were? She wants me to consult my internist and then i will see her after that.
[QUOTE=Fitness Seeker;4760150]Hi Jenny: The symptoms i have had the past few yrs is just fatigue, exhaustion, weakness (esp during 1st few days of period), windedness /brethlessness when climbing stairs or doing aerobic exercise (which i have avoided for a couple of yrs b/c it makes me very lightheaded and uncomfortable that i feel i may past out). The internist that i just started seeing told me he thinks the windedness may be related to sth else so we are still trying to figure things out. It may be related to my lung capacity or heart so I will do an echo test in a couple weeks.

My severe anemia was diagnosed 3.5 yrs ago altho i may have had it unbeknowst to me longer than that. I had 3 submucosal fibroids which were removed in 5/2009. Since then my hemaglobin and hematocrit has gotten better (pre surgery 8 -9) and now they are fluctuating within range/borderline/or lower than the range but not by too much. According to the gyno she tells me i'm no longer anemic , based on the hema /hematocrit numbers. So we are still searching for answers. She suspected i had hypothyrodism, however the labs for T3 and T4 were normal she said, altho my thyroid number escalated. Do you mind telling me what your numbers are/were? She wants me to consult my internist and then i will see her after that.[/QUOTE]

Prior to thyroid meds my TSH was 9.98. More recent lab results are as follows:
TSH (.10-5.50): 3-1-11: 1.5
4-1-11: 1.3
5-2-11: 1.23

Free T4 (.8-1.7ng/dL)
3-1-11: 1.5
4-1-11: 1.3
5-2-11: 1.1

Free T3 (210-440)
3-1-11: 270
5-2-11: 270

Make sure that your Free T3 and Free T4 is also tested as well as your TSH. Just a T3 and T4 can be inaccurate, especially if you are taking certain medications, such as birth control pills. The Free T3 and T4 shows what is readily available for your body to use.





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