Hello, I am Dr. Romain Rajan, General Physician. Your case has been allotted to me. I understand your concern your blood tests indicate iron deficiency, which is common in perimenopausal women even if you are otherwise healthy and active. Low iron and transferrin saturation with high total iron binding capacity confirms iron deficiency anemia. ✅ Advices • Increase dietary intake of iron-rich foods such as red meat, chicken, fish, leafy green vegetables, lentils, beans, and fortified cereals • Include vitamin C rich foods like citrus fruits, tomatoes, and bell peppers to enhance iron absorption • Avoid taking tea, coffee, or calcium supplements with meals as they can reduce iron absorption What to Monitor • Symptoms such as fatigue, shortness of breath, dizziness, or palpitations • Stool color and consistency if taking oral iron supplements • Recheck blood counts after 6–8 weeks of supplementation Management You may need an oral iron supplement such as ferrous sulfate 100–200 mg daily or equivalent, preferably on an empty stomach for better absorption. If oral supplements cause gastric upset, take with meals or switch to a slow-release or liquid preparation. Avoid self-prescribing multiple supplements without monitoring, as excess iron can also be harmful. When to Consult a Doctor Immediately • Severe fatigue, shortness of breath, or dizziness affecting daily activities • Black or bloody stools • Signs of allergic reaction to supplements such as rash or swelling Every patient situation is unique. For accurate dosing and long-term management of iron deficiency, it is important to review your blood tests, diet, and overall health status. You can reach out to me directly for this case and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation where you will receive: A personalized supplementation plan Safe medicine adjustments if required Quick follow-ups to track your recovery Take care wishing you good health Best regards Dr. Romain Rajan General Physician

Hello, For consultation 1. Pay ( ₹ 500 only, 50 % off ) and consult by practo. 2. Or pay ( ₹ 500 only, 50 % off ) and send message by GPay. 3. If required call to +91959508739nine Take a glass of milk daily. Thanks.

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Autrin xt ! Once daily!...

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Livogen z one at night for months after dinner. Stool color will be changed please note.

Please take cap Autrin one morning and one evening for 6 weeks. Take more of green ,leafy vegetables,  pumpkin,  beetroot,  fruits like pomegranate, dry fruits, citrus fruits

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

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Hey This is Dr.Nikhil Considering your age and the profile above , We need to be cautious regarding the cause of iron deficiency. Though it gets corrected by supplementation, cause must be evalauted. T.Orofer -XT 1 tab once daily with lemon water

Your reports clearly indicate iron deficiency without anemia, which is quite common in perimenopausal women due to fluctuating hormones and dietary absorption issues. Low serum iron (40), low transferrin saturation (9%), and high UIBC (400) confirm depleted iron stores. You’ll benefit from an oral iron supplement like Ferrous ascorbate 100 mg + Folic acid 1.5 mg once daily after meals for 3 months. Pair it with Vitamin C 500 mg for better absorption and avoid taking it with tea, coffee, or calcium. If you have acidity or constipation, a milder slow-release or liposomal iron may suit better. To choose the safest and most effective supplement tailored to your blood levels and digestion tolerance, you can contact me directly on WhatsApp at nine three two six zero two zero five nine six for a personalized treatment plan.

Orofer xt daily after dinner for three months