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I have been called the "mystery woman" by two of the doctors I have seen. They pretty much left it at that. So I'm wondering, is there always a cause behind iron deficiency anemia? Nobody ever suggested to me that it was possible to be anemic just because, so I never gave it much thought. I don't appear to have any blood loss, and my GI tests have shown no disease or abnormalitites. My MPV has always been high with low hemoglobin, iron, and severely low ferritin.
What was your B12 measurement? The current low value cutoff of 200 pg/mL used in the US and UK is way too low, in Japan they use 450. Neurological damage can start below 400. If yours was in the range 200 - 400 that is a gray area and should get treatment if you are experiencing symptoms. Don't let your doctor tell you it is normal, get the number.

My B12 was 196, slightly below the minimum, my doctor thought it wasn't of concern but he was very, very wrong. I had severe neurological symptoms, and have some permanent nerve damage as a result.

Since your MPV has been high, have you had your vitamin D tested? When I googled high MPV some articles popped up that suggest vitamin D could be low.

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