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I know this an old thread, but I'd sure love to know too. I'm facing the same. I had my last chemo on 2/13/12. All numbers are good but my RBC, hemoglobin & hematocrit took a nosedive recently. Heck, my RBC were better during chemo! I really don't understand the role Ferritin plays in all of this. Vit B12 looks fine. So does iron. Does this mean I have internal bleeding as in colon or ulcers' I know my onc wants me to do a colonoscopy very soon. I used to be so good about tests, but after my diagnoses in July of 2012 I'm.. well, gun-shy. My mind wanders to the worst case scenario. Somebody said since my ferritin is well within range it should be okay. (internal bleeding( I'm usually a quick study, but can't wrap my head around this one. ANY response would be SOOOOO appreciated. Did I mention MCV, MCH & MCHC are all well within the normal range?

From all I've read, this leads me to believe even though I'm anemic due to the 3 low levels it has nada to do with lack of iron, since that level is fine, too. I sure wish I knew more. Throw very real chemo-brain into the mix and I find myself most obtuse in figuring out this lab & the true role it plays with the normal levels. I feel like it must be loss of blood internally. Darn it. During chemo I did have blood in my stool from bearing down hard since it was so constipating. I'm trying hard not to worry. My only symptom has been extreme, and I do mean EXTREME fatigue. I hold down a full time job and am extremely grateful I can even do so. It helps pay this 5K medical deductible plus the outlandish rate hike in my monthly premiums.

Again, TIA for any light you are able to shed. Not looking for sugar coating the issues.. simply need real facts. The colonoscopy needs to happen regardless, I'm hung up my 51 ferritin level from what I was told- that if it was fine there was no bleeding, and if that's even true. BTW, I've been postmenopausal for almost 8 years.

Sorry for such a long drone. Wishing all a lovely weekend. ;)

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