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I apologize if I'm posting this in the wrong forum but am seeking advice on what could be causing my severe iron deficiency anemia. I am a 28 year old female and have had low iron for a couple of years along with GI stress. About two years ago I experienced IBS symptoms after months of severe anxiety. My anxiety is more under control now but my stomach ailments are still terrible. I have severe fullness/bloating and gas after eating, hard stools and sometimes diarrhea or mushy stools (sorry for details). I have pressure and pain in my upper stomach and sensitivity/stomach cramps through out the rest of my abdomen. Anyway getting back to the iron deficiency, like I said it's been low for a few years but current labs show total iron is 15, ferritin 2.4, Iron binding capacity total 413, percent iron saturation 5, iron binding capacity unbound 395. I am very weak and tired all the time, have muscle aches everywhere, and am dizzy and out of breath from something simple like holding my phone or getting up from a sitting position. I have been on iron supplements for months but my iron and especially ferritin levels keep dropping. I don't think my body can't or won't absorb iron and need to know what could cause this? I have IBS like symptoms and my stomach hurts, feeling of fullness after eating, and have lots of gas and cannot digest food well. I am at my wits end and have had every blood test out there. I know I need an upper endoscopy (again) and colonoscopy but before I put my body through those torturous things I would just like some ideas as to what causes iron malabsorption or what my condition in particular could indicate? I eat a plant based healthy diet and take my supplements to no avail. My sed rate was also 23, not too high but high nonetheless. My b12 was 600 which I was told is normal but my serum folate was very high at 29.4. My WBC is 4.0, RBC normal, HGB 11.0, HCT 34.7, MCV 74.0, MCH 23.5, MCHC 31.7, and RDW 16.6 which is high. Please reply if anyone has any ideas or suggestions for me. Thanks!

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