Vitamin/mineral/complete blood count ... - Pernicious Anaemi...

Pernicious Anaemia Society

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Vitamin/mineral/complete blood count results advice please

Luckystar
Luckystar

Hi I am new I am a 27 year old female and I have been asked to come here from Thyroid UK. I have these symptoms - fatigue, muscle cramps, dry skin, constipation, heavy and short periods, dry eyes, deafness, ears ringing, cold intolerance, depression. Could anyone please feedback regarding results/symptoms? I also take vitamin D 800iu

Thank you

Jan-2017

Serum folate 2.5 (4.6 - 18.7)

Serum ferritin 14 (15 - 150)

Serum vitamin B12 196 (180 - 900)

Total 25 OH vitamin D 17.4 (<25 severe vitamin D deficiency. Patient may need pharmacological preparations)

Total white cell count 6.52 (4 - 11)

Red blood cell count 5.17 (3.8 - 5.3)

Haemoglobin estimation 114 (120 - 150)

Haematocrit 0.44 (0.37 - 0.45)

MCV 78.1 (80 - 98)

MCH 28.9 (27 - 32)

MCHC 374 (310 - 350)

Platelet count 288 (150 - 450)

Neutrophil count 3.77 (1.5 - 8.0)

Lymphocyte count 1.93 (1.0 - 4.0)

Monocyte count 0.54 (0.2 - 1.0)

Eosinophil count 0.26 (0.0 - 0.5)

Basophil count 0.04 (0.0 - 0.2)

3 Replies
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Gambit62
Gambit62Administrator

can't really add to response to post on TUK except that your blood work is showing signs of microcytosis - small red blood cells - which added to the ferritin indicates an iron deficiency - so looks like you have an absorption problem that needs to be investigated and folate, B12 , citD and iron deficiencies that need to be addressed - so suggest that you discuss with your GP

In the case of anemia of chronic disease, which you mention, it is true that oral supplementation is not recommended or useful, however iron infusions have been shown to improve patient quality of life. The reason being similar to why injections are needed for PA sufferers; the infused iron bypasses the natural iron transport system in the body. (The iron doesn't have to rely on the inadequate transferrin levels of the patient.)

True. My viewpoint comes from having an autoimmune problem that, at this point of scientific knowledge, cannot be cured. So, in absence of treatment for the underlying cause of the immune response, symptom relief is better than nothing.

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