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Iron Defficiency Anemia
My friend got her iron profile checked, it says Iron 18.8 L, UIBC 8602.1 H, TIBC 8602.9 H, TSI 0.2 L, HGB 9.9, what should we do?
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Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
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Lab Interpretation – Suggestive of Iron Deficiency Anemia
🔬 Test Results:
Serum Iron: 18.8 µg/dL → Low
UIBC (Unsaturated Iron Binding Capacity): 8602.1 µg/dL → High
TIBC (Total Iron Binding Capacity): 8602.9 µg/dL → High
TSI (Transferrin Saturation Index): 0.2% → Very Low
Hemoglobin (Hb): 9.9 g/dL → Mild anemia
These values strongly indicate iron deficiency anemia (IDA):
Low serum iron + low TSI
Elevated TIBC/UIBC (transferrin not saturated due to iron deficiency)
Mild anemia (Hb < 12 g/dL for females)
🩺 What Should Be Done – As per Guidelines:
1. Identify Cause of Iron Deficiency
Check for blood loss (e.g., heavy menstrual bleeding, GI bleeding)
Assess dietary intake and malabsorption causes (celiac disease, parasitic infection, etc.)
2. Start Iron Replacement Therapy
Oral iron salts (e.g., ferrous sulfate 200 mg TDS or equivalent elemental iron ~60–100 mg/day)
Best taken on empty stomach or with vitamin C for absorption
If not tolerated or ineffective → consider IV iron
3. Monitor Response
Reticulocyte count rise in 7–10 days
Hb increase by ~1 g/dL every 2–3 weeks
Continue iron for 3–6 months after Hb normalization to replenish stores
4. Dietary Advice
Increase intake of:
Red meat, liver
Green leafy vegetables
Iron-fortified cereals
Citrus fruits (for vitamin C)
5. Follow-up Investigations (if no improvement):
Stool for occult blood
Endoscopy/colonoscopy if GI blood loss suspected
Evaluate for chronic illness if iron studies remain abnormal
⚠️ Red Flags to Urgently Investigate:
Persistent low hemoglobin despite therapy
Signs of occult bleeding
Weight loss, fatigue, or chronic symptoms without known cause
🔍 Reference:
Harrison’s Manual of Medicine, Anemia – Iron Deficiency: Characteristics include low serum iron, high TIBC, low transferrin saturation.
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Need few more details
Kindly connect.
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Syp R.B. tone 10ml one morning and one evening for 30 days.
Take more of fresh green leafy vegetables, beetroot, pumpkin, fruits like pomegranate , apples.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Haem up syr 10 ml after dinner for two. Change of stool color will be seen, don't worry.
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Dr. Kinjal Bhudia
General Practitioner
6 yrs exp
Bhuj
Take iron ,folic acid , vitamin b12 supplements
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take iron and b12 supplements.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Mithravinda Rajana
General Physician
8 yrs exp
Kolkata
UIBC of 8602.1??
Are you sure that you have mentioned the correct value!?
Share the printed report.
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