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Iron issue
My Iron and associated report. Please see if I have deficiency? BMI 45......should I do any more tests
19 June 2026
Iron: 36.47 μg/dL
TIBC: 296.6 μg/dL
Transferrin Saturation: 12.3%
UIBC: 260.16 μg/dL
Ferritin: 210 ng/mL
Hemoglobin: 12.8 g/dL
Hematocrit: 42.7%
RBC: 4.91 × 10⁶/μL
MCV: 87 fL
MCH: 26.1 pg
MCHC: 30 g/dL
RDW-CV: 13.6%
RDW-SD: 43.1 fL
RDWI: 241
Mentzer Index: 17.7
hs-CRP: 33.1 mg/L
30 March 2026
Iron: 56.29 μg/dL
TIBC: 369.6 μg/dL
Transferrin Saturation: 15.23%
UIBC: 313.31 μg/dL
Ferritin: 204 ng/mL
Hemoglobin: 13.9 g/dL
Hematocrit: 45.7%
RBC: 5.38 × 10⁶/μL
MCV: 84.9 fL
MCH: 25.8 pg
MCHC: 30.4 g/dL
RDW-CV: 15.1%
RDW-SD: 47.1 fL
RDWI: 238.3
Mentzer Index: 15.8
hs-CRP: 26.1 mg/L
Answers (12)
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Reading your two panels together: your ferritin (204-210) is not low, but transferrin saturation is only 12-15% with a rising TIBC, and your hs-CRP is markedly high at 26-33. That pattern is functional iron deficiency / anaemia of inflammation, which is very typical with BMI 45 - the inflammation from obesity traps iron in stores and falsely lifts ferritin. Haemoglobin 12.8 to 13.9 with borderline low MCV fits this, not classic blood-loss iron deficiency.
Next Steps
Rather than piling on iron tablets, get these: fasting sugar and HbA1c, lipid profile, TSH, LFT with ultrasound abdomen (fatty liver is near certain at this BMI), vitamin B12 and D3, creatinine, urine routine, and a repeat CRP after a few weeks. Stool occult blood if you have any dark stools or acidity history. Iron supplements help only if TSAT stays low after the inflammation is addressed - the real fix here is 8-10% weight reduction, protein-rich diet and daily walking. Book a consult with me on Practo and share both reports; I will work out a proper metabolic plan and decide if iron is needed at all.
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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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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Need few more details for further evaluation. Please consult
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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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Please attach report. Unable to corelate. U r obese.
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Iron is low, crp high. Please share details of your symptoms as treatment depends on overall clinical condition.
Your bmi is very high, reduce weight by diet, exercise, gradually and consistently.
Also get thyroid function tests done and share results.
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Iron is low ,storage is high ,crp high ,its indicate that any chronic disease or any inflammation present in body.bmi is 45 , go for lipid test
And start excercise daily because bmi is so so so high.
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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. 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. 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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