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Greetings.

I wonder, where is Dr. House when you need him? Anyway, I thought I'd try and answer some of the important questions raised here so far.

over the past year, according the Dr., I have had blood tests to make sure this isn't my thyroid, pancreas, or liver.

Theyre also pretty sure its not an absorption problem since my ferritin levels were within normal range a few years back and I've gotten the all clear from GI.

My white blood cell count has stayed on the lower end of normal - increasing from 4.3 to 5.5 (K/cu mm) while on iron supplementation (standard range of 4.40 11.00).

Red blood cell count started around 5 (M/cu mm) (with standard range of 4.50 6.00) and rose to mid 5's during iron supplementation, but then went back down to mid 4s off of supplementation. Matter of fact, my RBC, hemoglobin, and hematocrit have all decreased some while off of iron supplements. Makes me wonder if this points to blood loss after all.

MCHC has been repeatedly flagged as low and RDW has repeatedly been flagged as high. Though, I am told this is secondary to the iron deficiency / depletion issue.

Blood iron levels seem a bit low but are mostly OK. The saturation transferrin being the main issue increasing from a low 5 (L) earlier this year to 17 after a few months of fairly aggressive oral iron supplementation (standard range of 20-50), and then back down to 7 while off iron for two months.

Oh, and the "incomplete white blood cell" was actually a single metamyelocyte seen in one of my earlier blood draws. This seemed to alarm my Dr. a bit, but another has not been detected in subsequent tests.

As far as the GI stuff goes, the initial (3) occult blood tests were negative, but they still performed an upper and lower endoscopy to be sure - as well as a capsule endoscopy. I was also screened for celiac disease all of which were also negative / normal.

As far as ongoing symptoms goes, its really hard to tell since I've been iron depleted more often than not these last couple years. My symptoms of low iron seem numerous. I struggle mostly with fatigue, neck tension, headaches, irritability, tinnitus, occasional mental fog, restless legs, and probably more. The symptoms themselves gets to be normal as the months go by.

One other thing not seemingly associated with iron - I noticed I have a fairly substantial Beau's lines on my big toenail, which I've read is associated with nutritional deficiency, systemic disease, or other illness in the body. But we do eat well and healthy.

P.S. I am on the cancellation wait list for hematology. This whole process - with its ups and downs, high stakes, and uncertainty has not been easy to say the least.

Whatever doesn't kill me right?





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