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Vitamin Profile & Supplements
Hello Doctor,
I recently had my blood tests and my Hemoglobin is 10.2 g/dL (reference range 12-15) and Serum Iron is 37 µg/dL (reference range 50-170), which appear to be low. My Vitamin D is also low at 23.6 ng/mL. Vitamin B12 is normal at 442 pg/mL.
Could you please advise whether I should take an iron supplement? If yes, which type/dose would be appropriate for me, and for how long?
I take meganeuron od plus occasionally and vitamin d supplement (60k) twice a month.
I have sensitive stomach and suffer from IBS D. So which iron supplement will suit me?
Please also let me know the best time to take iron and whether there are any foods/medicines I should avoid taking it with.
Thank you
Answers (10)
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Yes u need ro take iron and vitamins supplements.
Since u have ibs d problem, its better to take iron injection
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Do consult
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Kindly consult for proper evaluation and treatment
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Dr. Jitendra Tarasingh Rathod
General Physician
1 yrs exp
Akola
Your Hb is low and the low serum iron may suggest iron deficiency, but ferritin and iron studies (TIBC/TSAT) are needed for confirmation.
If iron deficiency is confirmed, ferrous bisglycinate is often better tolerated in people with sensitive stomach/IBS-D. Take it once daily or on alternate days as advised, and continue until Hb normalizes and iron stores are replenished.
Avoid taking iron with tea/coffee, calcium/dairy, or antacids; separate these by 2–3 hours. Your vitamin D is also mildly low and can be supplemented
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Mr. YASH AGRAWAL
General Physician
1 yrs exp
Lucknow
Aapki reports dekhne par Hb 10.2 g/dL aur serum iron 37 µg/dL hai, jo iron deficiency ki possibility ko strongly suggest karta hai. Vitamin B12 normal hai. Vitamin D 23.6 ng/mL mildly low/insufficient range mein hai.
Meri advice hogi ki iron treatment start karne se pehle serum ferritin, TIBC/transferrin saturation aur CBC indices (MCV, MCH, RDW) ko bhi consider kiya jaye, kyunki sirf serum iron se iron deficiency confirm nahi hoti.
Aapka stomach sensitive hai aur IBS-D bhi hai, isliye main unnecessarily high-dose iron se start nahi karunga. Aapke liye low-dose, better-tolerated iron preparation such as ferrous bisglycinate consider ki ja sakti hai, generally around 40–65 mg elemental iron, often alternate days se start karna GI tolerance ke liye useful hota hai. Exact preparation/dose aapki complete reports aur history dekhkar decide karna better rahega.
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Aapka B12 442 pg/mL normal hai, isliye B12 deficiency anemia ka obvious cause nahi lag raha. Aap jo Meganeuron OD Plus occasionally le rahe hain, usko iron ke saath same time lene ki zarurat nahi hai.
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your report shows haemoglobin and serum iron below the reference ranges printed on it. Whether you need an iron supplement, and which type, dose and duration would suit your IBS, is a decision for your doctor after looking at the full report. It also helps to find out why your iron is low, since heavy periods are a common reason in women your age. Iron from food and supplements is absorbed better alongside a vitamin C source like lemon or amla. Keep tea, coffee, milk and calcium tablets a couple of hours away from it.
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