Can someone explain results Iron test - Pernicious Anaemi...

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Can someone explain results Iron test

sbadd profile image
16 Replies

Doct has put me on iron supplements also offered infusion if i wanted?

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Gambit62 profile image
Gambit62Administrator

There are a large number of indicators of iron status - the above lists 4 and gives the results for 4.

Whilst your ferritin (a protein that binds to iron allowing the body to use it) seems to be staying pretty steady the other three measures are showing a drop ie a deteriorating iron status and your blood iron is now below range - hence the supplements.

sbadd profile image
sbadd in reply toGambit62

Any reasons to why? Could it be from too many blood tests as ive had nearly one a week since jan?? Just a thought

in reply tosbadd

People with PA can have difficulty absorbing iron from food. I’m one of many on this forum. I have had an iron infusion but now take a gentle iron supplement every day and quarterly iron tests show this to be working for me. I can’t take the iron supplements the GP gives me as they’re too difficult on my stomach. I’d take the supplements and retest in 3 months to see the effects they’re having for you.

sbadd profile image
sbadd in reply to

Will do just find it strange that it was normal in dec, i tested negative to PA tests but i think i will get the H Pylori test done just to rule that out aswell, strange that having low b12 in dec now low iron???

in reply tosbadd

The test for PA is notoriously unreliable and gives false negatives in about 50% of cases. Do you know your B12 results?

sbadd profile image
sbadd in reply to

Yes it was 148 , active was 84 and folate 42.8, had loading doses in jan

B12 test 19/3/19

B12 1043

Folate 54.4

in reply tosbadd

Then you have an absorption problem with B12 and the most common cause of that is PA. in any even and absorption problem with B12, as I said, can cause problems with absorption of other vitamins and minerals. I personally have problems with iron and vit D. I had an iron infusion last year and my ferritin went from just over 400 (I’m make so that’s top of range) to 171 in under 3 months. And it continued to fall further along with my serum iron and transferrin saturation. One of the explanations for this is that people with B12 deficiency also have low or no stomach acid. Iron needs this to be absorbed. Another reason why I supplement with iron and take bets in HCL every day. Good luck with it all.

sbadd profile image
sbadd in reply to

Thankyou

JAMV profile image
JAMV in reply to

What is the cause of your malabsorption? Is that something that can be treated?

in reply toJAMV

PA is a cause of malabsorption as is EPI. I have both of these and both are being treated. It doesn’t cure completely the malabsorption though.

JAMV profile image
JAMV in reply to

Does that mean you always have to get iron and offer vit infusions for life? What is EPI? Can you increase your stomach acid and thus be able to absorb b12 and other vitamins?

Gambit62 profile image
Gambit62Administrator in reply tosbadd

low iron tends to be the result of either loss of iron (eg through bleeding) or an absorption problem (which could be the same problem as is causing your B12 absorption problems

sbadd profile image
sbadd in reply toGambit62

Yes im going to see about the h pylori test, thankyou

KimberinUS profile image
KimberinUS in reply tosbadd

i had h pylori and was b12 deficient, vit D deficient and had a iron saturation of 21. i had another full iron panel done 2 months after h pylori eradicated and my saturation jumped right up to 35 (perfect for females, 45 for males) but it took 8 months before my b12 started being absorbed without injections. i guess it just took that long for my stomach to completely heal and start having/producing intrensic factor cells again.

additionally, prior to h pylori eradication, i took 5000 iu of D daily for 18 months and it only raised from 20 to 39, so i suggest you get out in the sun and by pass needing your stomach/gut to absorb it if you are found to be low in D.

JAMV profile image
JAMV in reply toKimberinUS

Your story gives me hope. I hope my b12 deficiency is due to pylori so that I dont need to take b12 injections for life.....🙏🏼🙏🏼🙏🏼🤞🏼🤞🏼🤞🏼 My vit d also tested low (28) still waiting for ferriti test results.

May I ask if you had any neurological symptoms from b12 deficiency?

GastritisB12 profile image
GastritisB12

My Iron was 7.5 umol/L and Trafnsferrin sat. 13% when my low B12 was first identified.

Blood test immediately after 6 loading B12 injections both bounced back by themselves and I dont eat much iron in my diet. Iron 18.5 Transferrin sat. 37%

Then two months later I randomly drank a glass of raw beetroot juice and had beeturia. Never had this before so I read up about it that it could indicate low iron so I took Sapatone for 20 days. Then I tried drinking another glass of raw beetroot juice and no pink urine, so perhaps my iron was low again.

I have no idea why it goes up and down like this.

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