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Having severe tiredness
Hello Doctors, I have been experiencing constant fatigue, excessive sleepiness, and very low energy throughout the day. I sleep around 8–9 hours but still feel tired and sleepy and often don’t feel like doing anything.
My recent reports are: Ferritin: 4 ng/mL
Hemoglobin: 10.9 g/dL
Vitamin B12: 311 pg/mL
Vitamin D3: 33 ng/mL
Also have a ligament injury in right ankle though I'm traveling and working in a lab where maximum part of the day is standing.
Could these levels be causing my symptoms? Is my ferritin level dangerously low, and what treatment or further tests would you recommend?
Answers (18)
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Tab Ferrous ascorbate- one tablet to be taken 2 hours after a meal or one hour before a meal for 6 months daily.
For better absorption of iron in your body please follow the meal timings that I mentioned and no not drink coffee or tea or alcohol around the time of taking iron.
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Need proper evaluation please consult for assessment and treatment
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Injectable form needed.
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Your ferritin of 4 and haemoglobin of 10.9 suggest iron-deficiency anaemia, which can explain much of your tiredness and low energy.
Your iron stores are severely depleted and need treatment, but this number alone does not mean an emergency or that you need iron injections.
Please consult a physician for iron supplements and to check the cause, including dietary intake, heavy periods if applicable, or other blood loss.
Your B12 is borderline and vitamin D is adequate; repeat your blood count after 2â4 weeks of iron treatment to check improvement.
Standing for long hours can aggravate your ankle injury, so take seated breaks and get it reviewed if pain or swelling persists.
If excessive sleepiness continues, sleep quality, medicines and thyroid function should also be assessed rather than assuming everything is due to low iron.
Dr. Pankaj Kumar
General & Lifestyle Physician
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REST IS MANDATORY
INJ NEUROBION FORTE ONE AMPLE INTRAMUSCULAR IN ALTERNATE DAY FOR FIVE INJECTION.
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Good questions. Need to evaluate further. Pls consult asap
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So as you have mentioned some of the test result you might have done CBC reports so please also mention the full report or share the photo of that so we can see if it is due to iron defeciency or not
Next Steps
Have nutrient reach food like fruits , almonds and all and if your symptoms persist please consult a physician
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Persistent fatigue despite 8â9 hours of sleep needs evaluation, not just vitamin replacement. Your low ferritin may contribute, but we should also check CBC/haemoglobin, thyroid function, B12, glucose and sleep quality.
I would review the reports and examine your ankle before starting iron; avoid self-medicating with high-dose supplements.
Please book a consultation with me on Practo or visit me at Synergy Multispeciality Hospital, Miraj for a focused assessment.
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Your ferritin and haemoglobin levels are worth a proper look, since low iron stores are a common and treatable cause of the fatigue and sleepiness you're describing. A general physician can confirm this from your full picture.
Next Steps
Please see a general physician in person with these reports so they can decide if further testing or iron replacement is needed.
Health Tips
Please don't start iron supplements on your own before that review, since dosing depends on your case.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Mr. Arpit Gupta
General Physician
1 yrs exp
Chhatarpur
Your Hb is low and serum ferritin level is also low it is suggesting iron deficiency anemia so you should start on oral iron supplements continue it for 5-6 months
Don't stop it after your Hb returns to normal range stop it after 3-4 month after getting normal Hb so it maintain your body iron level
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
Kindly consult with me on practo app
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Dr. Sushant Suhas Deshmukh
General Physician
Pune
Your ferritin of 4 ng/mL is low and with Hb 10.9 g/dL, is possibly iron-deficiency anaemia. Which causes fatigue, low energy and reduced exercise tolerance.
Next Steps
I would recommend checking CBC with MCV/MCH/RDW, iron profile (serum iron, TIBC and transferrin saturation)
Health Tips
Please consult a physician for an individualized treatment plan rather than taking iron supplements on your own.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. More Atul Hanumant
General Physician
2 yrs exp
Aurangabad
Consult your nearest physician and be compliant with the treatment given
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Mr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Shah Harsh Kairav
General Physician
Ahmedabad
Hello
Yes your ferritin levels are low and your Hb levels points towards mild anaemia
There are 3 stages for iron deficiency anaemia- during the first stage only the body iron stores ( represented by ferritin levels ) goes down Hb levels remains nearly normal( Known as Iron depletion stage )
So this could be a possibility that it might be progressing towards iron deficiency anaemia
Next Steps
Start Oral Iron Therapy ( Ferrous Ascorbate)
Take it in morning empty stomach
You can take the tablets with VIT C rich sources ( citrus juices )
But avoid having tea coffee with the tablets as they could impair iron absorption
Health Tips
You have nothing to worry about this is very common and after oral iron course of 3-6 months Hb and Ferritin levels tend to return to normal
If you feel any discomfort after taking the tablets do mention it here you can consult me on practo i would guide you further
Thank you
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