Experiences with

Haemoglobin

Having had my routine bloods on Wednesday, I find that my haemoglobin has dropped further. Am I right that that is odd? Does it prove I cannot be absorbing it via my gut? Does it strengthen my case for Vit B12 deficiency/PA.

I spotted on some results that my eGFR was 58 , I am also anaemic ( ferritin was 7 and also low haemoglobin) I am taking ferrous fumearate tablets.

count - observation 0.4 10*9/L [0.04 - 0.5] Basophil count 0.0 10*9/L [0.0 - 0.2] Red blood cell count 3.98 10*12/L [4.0 - 5.5] Below low reference limit Haematocrit 0.390 L/L [0.36 - 0.441] Mean cell volume 98.0 fl [80.0 - 100.0] Mean cell haemoglobin level 31.9 pg [26.9 - 32.0] Mean cell haemoglobin

total white cell count 9.05 (4.00-11.00) haemoglobin estimate 142 (115-165) platelet count 345 (140-440) thanks in advance x RBC 4.41 (3.80-5.80) haematocrit 0.0402 (0.37-0.47) MCV 91.2 (82.00-98.00) ! MCH 32.2 (27.00-32.00) !

my Haemoglobinlevel is1430 what should it be

Anaemia occurs when our red blood cell count and/or haemoglobin levels are too low, resulting in an inability to transport sufficient oxygen throughout the body. Iron is required in order for haemoglobin to transport oxygen.'

Haemoglobin - 32.7pg (26-35pg) MCHC - 358 g/L (290-350g/L) Platelet count - 133 10*9/L (150-45010*9/L) Hypochromia % - 0.7% (N/A) Erythrocyte sedimentation rate - 5mm/h (0-10mm/h) Plasma c reactive protein - 4mg/L < (0-10mg/L) Serum ALT level - 14iu/L 0-50iu/L) Total alkaline phosphatase - 67iu (30-130iu

Luteal 1.0-11.4 Post Men 26 - 135 FSH 21.1 U/L follicular 3.5 - 12.5 ovulation 4.7 - 21.5 Luteal 1.7 - 7.7 Post Men 26 - 135 B12 723* ng/L (199-663) Folate (serum) 13.9 ug/L (4.6-18.7) Pathology WBC 4.9 X 10^9/l (4.0-10.0) RBC 4.56 X 10^12/l (3.8-4.8) HAEMOGLOBIN

white cell count 9.05 (4.00-11.0010*9/l haemoglobin estimation 1%2 (115-165) platelet count 344 (140-44010*9/l) RBC 4.41 (3.800-5.8010*12/l) haematocrit 0.402 (0.37-0.47) MVC 91.7 (82-98) ! MCH 32.2 (27-32) !

However recently I was feeling very bad (I have suspected developing hashimoto) so I went for a check up and my results didn't surprise me tsh is elevated, what surprised me is iron deficiency and low haemoglobin. I started supplementation.

However recently I was feeling very bad (I have suspected hashimoto) so I went for a check up and my results didn't surprise me tsh is elevated, what surprised me is iron deficiency and low haemoglobin. I started supplementation.

So here I am now after being told too stop iron as haemoglobin was too high at 12 weeks. I have told anyone who would listen I need the iron but was told no as it was a danger too baby too be too high.

TSH 4.8 (0.2-4.5), freeT4 13 (9-21), haemoglobin 113 (115-160), Red BC Count 3.52 (3.8-5.8), ferritin 19 (15-200), Serum folate 4.5 (2.8-20). Supplementation of iron began gp "no connection between b12 iron and thyroid function" bad diet heavy period.

ESR 11 mm/h [0.0-7.0] FBC Haemoglobin concentration 131.0 g/L [120.0-150] total WBC 4.5 10*9/L [4.0-10.0] Platelet count 194 10*9/L [150.0-450.0] Haematocrit 0.387 l/l [0.36-0.46] Mean cell vol 90.4 fL [832.0-101.0] MC Haemoglobin level 30.7 pg [27.0-32.0] MC haemoglobin concentration 340.0 g/L [315-

Serum ferritin level 50ng/ml (10-322) Serum foliate level 2ng/ml (5.4-24) Serum free T4 level 14.5pmol/L (10-20) Serum TSH level 12.9miu/L (0.2-4 Haemoglobin Alcester level lfcc standardised 43 mmol/molecular (20-41 Serum vitamin B12 level 307ng/L (211-911 I know I have underatctive thyroid just wondering

I note that Mean Cell Haemoglobin level (XE2pb) says 'Below Range' at 27.4 pg (28.0-34.0) but although this is stated, it doesn't say - requires attention? All the other things are bang on the middle of the reference ranges. Too many pages to copy and put up!

Total white cell count 3.76 x 18*9 / L (4 - 11) (Haemoglobin, platelets, haematocrit, RBC all in mid range) MCV 91.7 fl (83-105) MCH 31.8 (27 - 32) at the high end? ! MCHC 346 g/L (315 -345) just high, not sure if it matters? !

Look at the haemoglobin on him! 5. What colour is your vomit after chemo? 6. No kissing...I'm neutropenic! 7.You look like you need a damn good CBC 8.I'm a bit lymph 9.Come up and spleen me sometime! 10.My platelet or yours 11.100% infiltration baby 12. Mr Grey A bit of bmb is right up my street!

My routine bloods are 'normal' ( at the top of normal) except mean cell haemoglobin which was above range. I've been taking sublingual methylb12 2000ug and a multi vitamin plus d3 for a month now and do have more energy (still low but more). The neurological symptoms are still very present.

On 16th November I was retested and results are as follows: Serum Ferritin 20 (15-300) Total white cell count 3.9 (4-11) Haemoglobin estimation 128 (115-165) Platelet count 376 (150-400) Red blood cell count 4.41 (3.8-5.5010) Haematocrit 0.4 (0.37-0.47) MCV 90 (80-100) MCH 29.1 (27-33)