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Deficiency of iron
Hi Dr I m 50 yr old female in my perimanopousal stage.I m very fit n active ..and no medical issues yet now.But my blood test shows low iron 40 ,transferran saturation is low 9 and unsaturated bidding capacity is high ie 400 .please suggest some supplements.
Answers (15)
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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.
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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 6â8 weeks of supplementation
Management
You may need an oral iron supplement such as ferrous sulfate 100â200 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
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Take a glass of milk daily.
Thanks.
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Reach out on video call consultation.
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Autrin xt ! Once daily!...
Next Steps
I’m available to discuss your problems in detail. Please feel free to message me on WhatsApp at 9133 seven seven 996 seven (@ ₹95)
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Need to consult
Contact on 9three28010077
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Livogen z one at night for months after dinner.
Stool color will be changed please note.
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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
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Iron supplements with folic acid would help you. Still if u have any queries, kindly consult with me on 94 two six eight six 78 nine six.
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If you want to discuss your problem in more detail, feel free to message me on Whats App at nine one one nine two five five six nine nine for detailed discussion
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Take Orofer Xt one tablet daily with lemon water
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Need few more details
Kindly consult
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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
Next Steps
cause of iron deficiency is important
Health Tips
Consider diet rich in iron - green leafy vegetables , meat
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
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.
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Orofer xt daily after dinner for three months
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