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Struggling to function! Iron deficiency?
Recent blood tests:-
Serum iron: 35
TSAT: 11%
CRP: 17
Ferritin: 24 (Is this appearing higher due to the inflammation?)
Hb: 12.5
Vit D: 26
Vit B12: 325
Folate: 16.65
TSH: 1.73.
KFT, LFT, Urinalysis are fine.
My symptoms: hair loss, brittle nails, impaired memory & concentration, fatigue all the time, brain fog, don't feel rested after 7-8 hr sleep, feel cold easily, muscle & joint pains, and higher HR than my normal. These have gradually increased over a few years & become very noticeable for 1.5 years.
I took a deworming tablet after these tests. Also begun 60K IU of vit D weekly (for 8 weeks) as per a GP. I was also prescribed Azithromycin for a 3-month long sinusitis/rhinitis issue, which was misdiagnosed as an allergic reaction. Could this be the cause of the high CRP?
Do I qualify for iron deficiency without anemia? Should I take oral supplements? My work is badly affected and I have an intense work trip soon, so is an iron infusion better indicated?
Thank you!
Answers (10)
Need a few more details please consult for further evaluation and treatment
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Do consult
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Rb tone 10 ml after dinner 2 months.
Assessment of t3t4tsh mg advisable
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Avoid fried and spicy food
Avoid cold and sour food
Avoid sugar rice potatoes
Fiber meal
Walk
Do connect and consult
Will help you
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Oral supplements should help you
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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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Consult
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Dr. Lokendra Jaisinghani
General Physician
Indore
Your condition can be correlated with anemia of chronic disease and certain nutritional deficiencies assuming if you are a vegetarian and only iron deficiency is not the cause of your weakness, the raised CRP and other inflammatory markers indicate other problem too!
I can surely help you to further evaluate your condition and take the necessary treatment
Next Steps
Kindly consult me on practo app for a good detailed evaluation
Health Tips
Reduce stress, take timely sleep and good nutrition!
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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. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your serum iron and TSAT are both low even though your haemoglobin looks normal, so this points toward iron deficiency without anaemia rather than a hair or stress problem alone. Your CRP of 17 shows ongoing inflammation, and that can make ferritin read higher than your true iron stores actually are. Your vitamin D and B12 sit on the low side too, which fits the fatigue and brain fog.
Next Steps
Oral iron is usually tried first, with an infusion kept for when oral isn't tolerated or levels run quite low, so that choice is best made by your physician once they see your full picture. It's also worth asking what's driving the ongoing inflammation your CRP is showing.
Health Tips
Please consult your physician or a haematologist about this full panel before starting any new supplement, especially before your work trip.
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