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Iron absorption
I took new scoril capsule for 3 months as suggested by my doctor but my hemoglobin just increased crom 8.2 to 8.6 and my ferittin is at 8. My haur density has also decreased.
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Hb has improved only slightly, while ferritin is still low. This suggests ongoing iron deficiency and needs further evaluation.
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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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Free consultation dm 702242322 zero
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It's not only Hb levels and Ferritin you should look for.
A healthy Lifestyle and Prevention towards that state should be your ultimate goal
Secondly There are many reasons of Anaemia, it's not Hb levels only which should be treated it's more about that underlying cause which is reflecting on your CBC Page.
Next Steps
a brief discussion is mandatory
Health Tips
still if it's due to nutritional deficiencies then Iron Rich Food with upgraded medications will definitely work
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Cause of anemia should be determined to treat the deficiency properly.you may consult your doctor for specific investigations
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Consult
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Need proper evaluation please consult for assessment and treatment
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Hello mam
Your hemoglobin and ferritin are still low, suggesting ongoing iron deficiency. The small rise after 3 months warrants reviewing iron intake, absorption and possible sources of blood loss with your doctor. Please continue iron therapy as prescribed and recheck CBC and ferritin as advised
For further evaluation and guidance, you may consult me through Practo
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Please share details of your problem, then I can guide you further.
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CONSULT NOW
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With Hb only improving from 8.2 to 8.6 and ferritin still at 8 after 3 months, the response to oral iron seems inadequate. It would be important to check compliance, the actual elemental iron dose and how it is being taken, as well as ongoing blood loss—especially heavy periods. CBC indices, iron profile/TSAT, B12/folate and evaluation for gastrointestinal blood loss or malabsorption may also be needed depending on the history.
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Refractory iron deficiency anemia. A rise of only 0.4 g/dL over 3 months with a ferritin of 8 ng/mL confirms failure of oral therapy and severe, unreplenished iron stores (the direct driver of hair loss/telogen effluvium).
Causes: Ongoing blood loss (most commonly heavy periods in a 28-year-old female), impaired gut absorption (celiac disease, H. pylori, or taking pills with tea/coffee/calcium), or a co-existing condition (such as thalassemia trait or B12 deficiency).
Immediate Next Steps
Investigation to do: Check CBC with RBC indices (MCV/MCH), peripheral smear, serum Vitamin B12/folate, anti-tTG IgA (to rule out celiac), and hemoglobin HPLC (to rule out thalassemia trait).
Treatment Shift: Standard practice strongly favors switching to Intravenous (IV) Iron (such as Ferric Carboxymaltose). IV iron bypasses absorption issues, rapidly restores marrow stores, and halts further hair shedding far more reliably than continuing oral pills.
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Why Your Iron Isn't Improving
At 8 ng/mL, your iron stores are critically low, and a standard supplement like New Socril likely provides too low of a daily dose to catch up.
Main Culprits
Too Low of a Dose: Daily maintenance supplements cannot rebuild deeply depleted iron stores.
Absorption Blockers: Coffee, tea, milk, or antacids block iron absorption.
Ongoing Loss: Heavy periods or gut issues can drain iron faster than you can replace it.
Next Steps
Next Steps to Discuss With Your Doctor
1. Switch to Prescription Iron: You may need a higher therapeutic dose or IV iron to quickly refill your stores.
2. Optimize How You Take It: Take iron with Vitamin C on an empty stomach, avoiding coffee or tea.
3. Find the Root Cause: Ask for tests to check for hidden blood loss, celiac disease, or heavy periods.
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* Continue iron treatment as advised by your treating doctor; confirm the elemental iron dose, adherence and correct timing of intake.
* Repeat CBC, ferritin and iron studies after appropriate treatment.
* Look for the cause of iron deficiency, particularly heavy menstrual bleeding, inadequate dietary iron intake, gastrointestinal blood loss or problems with iron absorption.
* If there is poor response despite adequate oral iron and good compliance, discuss malabsorption, ongoing blood loss and IV iron therapy with a physician.
* Include iron-rich foods such as lentils/dal, beans, soy, green leafy vegetables, sesame seeds, eggs and meat if consumed, along with vitamin-C-rich foods.
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How and when are you taking your scoril tab?
Because this scoril tab needs to be taken with full caution as acidic substance may decrease its absorption.
Next Steps
Try taking it after breakfast preferably with some citrus juice and avoid tea or coffee for sometime after taking the tablet.
Health Tips
If still ferritin remains the same then you need to get further evaluation for which you can consult me.
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Poor absorption
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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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Hair density decreasing has direct relation to your decreased hemoglobin. Your ferritin stores are very less: if the stores are not filled up , hemoglobin levels will plateau. Get checked for absorption problems via your stomach or gut, because iron absorption remains the same whether it is given in oral form or injection form.
Next Steps
Consume Vitamin C along with iron tablets. Either in diet or as chewable tablets limcee 500mg.
Health Tips
Avoid calcium supplements along with iron supplements. Calcium reduces iron absorption. Next best thing will be to check problems with absorption in your gut. Because iron levels did not change since 3 months.
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Inadequate
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The low ferritin (8) strongly suggests iron deficiency, which can explain the anemia and reduced hair density. The rise in Hb from 8.2 to 8.6 g/dL after 3 months is less than expected, so the cause and treatment need reassessment.
Book a consultation with me on Practo.
Next Steps
1. Follow up with the treating doctor or you can consult me and review the iron dose, adherence and absorption.
2. Repeat CBC, ferritin, iron/TIBC or transferrin saturation.
3. Look for the cause of iron deficiency, such as heavy menstrual bleeding, inadequate dietary intake or blood loss from the GI tract.
Health Tips
Do not increase or change iron supplements on your own. Iron deficiency can cause hair shedding, but hair density usually improves gradually after the underlying deficiency is corrected.
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Your haemoglobin response is inadequate, and hair loss needs evaluation rather than simply continuing the same capsule.
Please confirm the elemental iron dose, adherence and whether it is taken away from tea or coffee; vitamin C can improve absorption.
Repeat CBC, ferritin, iron/TIBC and evaluation for ongoing blood loss are needed, especially with heavy periods or gastrointestinal symptoms.
Book a consultation with me on Practo or visit Synergy Multispeciality Hospital, Miraj so I can review your reports and adjust treatment.
Next Steps
Get the repeat blood tests and book a Practo consultation with me for review; urgent assessment is needed if you have breathlessness, chest pain or fainting.
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Dr. Praful Mahamuni
General Practitioner
20 yrs exp
Nagpur
Take Balanced diet which is mentioned below,
1/3 of food plate should contain bread, pasta, potato and rice.
1/3 of food plate should contain fruits and vegetables.
1/9 of food plate should contain fish, meat, egg, beans and other non dairy sources of protein.
1/9 of food plate should contain milk and dairy foods.
1/9 of food plate should contain food and drink high in fat and/ or sugar.
plus a glass of milk daily.
For prescription contact me at WhatsApp at +91959508739nine.
In future if consultations are required than contact me at WhatsApp at +91959508739nine.
Thanks.
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Dr. Sumit Verma
General Physician
5 yrs exp
Kanpur
1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices
9 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
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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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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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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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Mr. Arun R
General Physician
3 yrs exp
Chennai
A rise of only 0.4 g/dL after three months indicates that oral iron is not absorbing properly or ongoing iron loss (such as heavy periods) is occurring, which also explains your persistent hair thinning.
Next Steps
Please book an online consultation with me. so, we can review your complete blood count, rule out underlying causes, and start the right treatment plan.
Health Tips
To fix this, we need to evaluate potential absorption issues, check your menstrual history, and likely switch you to an intravenous (IV) iron infusion, which restores iron stores much faster and more effectively.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your haemoglobin has barely moved after three months of iron, so it's worth finding out why treatment isn't working as expected.
Next Steps
Go back to your doctor to check if the iron is being absorbed well or if a different approach is needed.
Health Tips
Hair thinning can also happen with ongoing iron deficiency, so treating the root cause should help both concerns.
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