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Shall I take iron tonic insteadof tablet
Hello my doctor prescribed me livogen z tablet due to low ferritin and hb level...my hb is 12 and my ferritin is 40..serum iron-80, transferrin saturation -20,TIBC-380 and UIBC-290..shall I take livogen adult tonic instead of livogen z tablet.. because it upset my stomach alot..my friend who suggested this..I want to know m whether the syrup help for stomach upset..
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Dr. Harichandana,
MBBS, MD (General medicine)
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Frankly you don't need any Iron supplements. Your Hb is very good. Your Serum Iron level, ferritin level and TIBC are good. No need for supplements.
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Yes you may take it in a syrup form. Since Iron is known to cause gastric symptoms , syrup will be calmer on your stomach.
Health Tips
Try not to drink tea/coffee or milk products close to the time when you take the syrup . As it hinders with the iron absorption.
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You need to take this after food and vitamin c also take,its help in better absorption of iron.
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Your reports show mild iron deficiency, not severe anemia:
• Hb 12 g/dL (near normal)
• Ferritin 40 (low–normal, but symptoms can occur)
• Iron studies are acceptable but suggest reduced iron stores
So iron supplementation is reasonable, but tolerance matters.
Yes — you can switch from Livogen Z tablet to Livogen Adult Tonic if the tablet is causing significant stomach upset. This is a common issue.
Next Steps
• Switch to Livogen Adult Tonic
• Monitor symptoms and tolerance
• Repeat Hb and ferritin after 2–3 months
Health Tips
• Take syrup after food (not empty stomach)
• Avoid tea/coffee within 1–2 hours
• Vitamin C (fruit or juice) improves absorption
• Continue for 8–12 weeks, then reassess
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Yes ,
you can use livogen adult iron tonic for the same ,instead of the tablet
And it is tolerated a bit better than iron tablets in the gut .
However u need to use for longer duration than the tablets , your hb is good at 12 but iron levels are less ,which tells that there are no much iron stores ,so u should start taking this syrup for 6 weeks everyday in afternoon after food and then get the iron profile done again after 6 weeks .
Do not take any antacids for pain if u're on iron tonic/tablets .
Next Steps
consult for any queries on wat side effects u can expect
Health Tips
Do take the syrup with tablet Limcee/Vit-c which will help in aiding better absorption of iron in gut
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As ur hb level is 12 you can add iron rich food to your diet along with syrup
Eg: red meat , dry fruits,broccoli, spinach,chickpeas,
Pumpkin seeds etc
Next Steps
After 1 month if hb is still not improving u should reasses for other causes
Health Tips
take iron rich foods with vitamin c rich foods (eg: oranges, lemon juice, kiwi, strawberries etc ). For better absorption of iron
avoid taking tea or coffee within 30 minutes of taking syrup
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Elemental iron should be 100 to 120mg per tablet for around 2 months Tablet s or syrup check elemental iron strength
Then dosage can be reduced after blood tests
Next Steps
check iron profile in 2-3 months
Health Tips
some people have gastrointestinal symptoms with oral iron
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