Hello,
I understand your concern. A drop in hemoglobin despite regular iron supplementation like Sofcril (iron + folic acid) could indicate one of the following:
Poor absorption of oral iron (often due to gastric issues, tea/coffee with meals, or low
vitamin C intake)
Chronic blood loss (e.g., heavy periods, gastrointestinal issues)
Underlying causes like
vitamin B12/folate deficiency or chronic conditions
Here’s what I suggest:
1. Ensure iron is taken on an empty stomach or with vitamin C (like orange juice) to improve absorption. Avoid tea/coffee within 1 hour of the dose.
2. Further tests may help:
CBC with peripheral smear
Serum
ferritin
Vitamin B12 and folate levels
Stool for occult blood (if chronic GI loss is suspected)
If absorption issues or side effects persist, switching to a different form of iron (e.g., ferrous ascorbate or iron sucrose IV) may be considered after medical evaluation.
I recommend a direct consultation to assess the full picture and adjust treatment safely.
Take care!
Next Steps
consult