Dimorphic anemia is characterized by the presence of both microcytic and macrocytic red blood cells, often due to multiple causes such as iron deficiency and
vitamin B12 or folate deficiency. In your case, since your
ferritin levels have improved to 19 after iron supplements (though still slightly low), and vitamin B12 is normal, it's crucial to continue managing the underlying causes.
The fact that you have multiple shapes of red blood cells (RBCs) suggests the need for ongoing monitoring, but dimorphic anemia is usually curable, especially if the underlying causes like iron and vitamin deficiencies are treated. You should continue with the prescribed supplements for iron and ensure your vitamin B12 levels are regularly checked.
I advise you to have regular follow-ups and monitor your hemoglobin, RBC morphology, and iron studies to ensure complete recovery.
For a more detailed evaluation and personalized treatment plan, feel free to consult me directly. You can also message me on WhatsApp at eight, zero, zero, nine, eight, two, one, three, three, two for further guidance.