Brief Answer:
Anxiety may be a side effect of iron, clinical assessment required

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
Your history of fatigue, muscle weakness, feeling sleepy and restless legs along with low hemoglobin and low ferritin are all suggestive of iron deficiency anemia.
The stores of iron indicated by serum ferritin levels are also very low.
The treatment for iron deficiency anemia is iron supplement and your doctor has already prescribed iron supplement- Orofer XT.
Iron supplement is associated with some side effects most common being, gastric upset, metallic taste, generalized body pain, nausea, fainting, etc.
Anxiety and panic feeling are less known side effects of iron supplements.
Are you suffering from troubled breathing also during panic attack?
Troubled breathing is also a side effect of iron supplements.
Now the hemoglobin level had improved (i.e. 15 gm%) and the ferritin level has also increased but the store is not fully replenished.
A course of 3 months is required to completely replenish the iron stores.
The supplements needs to be continued.
I suggest you to consult your treating physician for evaluation of symptoms.
A change of supplement will not necessarily help because all supplements contain elemental iron in appropriate dose.

Thanks and take care
Dr Shailja Puri

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Brief Answer:
Consult treating doctor, ,any change has to be under supervision

Detailed Answer:
Hello and welcome again,

1. The biological reference interval for serum ferritin level in adult male is 24 to 336 micrograms per liter. You ferritin level is 22, its level should be well within the range.
2. For anxiety and panic attack, you need to consult your treating doctor. Breathing techniques help. These are called as XXXXXXX in XXXXXXX yoga. You just need to learn it in a small course.
3. Any change in dose of iron supplement should be done under medical supervision.
4. All the symptoms caused by iron deficiency are reversible once the stores are replenished.
5. Since, you facing the problem of anxiety and panic attacks, the iron therapy should be with-held and treating doctor should be consulted.
6. Liquid form of iron is available, but it causes staining of teeth and gingiva.

It is good and it is advisable to consult your treating doctor for any change in drug dosage or drug form.

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Brief Answer:
Ferritin range depends on units used,iron & vit B 12 def are diff entities

Detailed Answer:
Hello and welcome again,
The ferritin level has come up with iron supplement but it is not optimal till yet.
Moreover, a level of 24 microgram per liter is not desired because it is just borderline and can go down any time.
The range of ferritin depends on the units used.
It is 24-336 microgram per liter for males.
There is no link between iron deficiency and vitamin B 12 deficiency.
Both these deficiencies can co-exist.
Iron deficiency does not cause vitamin B 12 deficiency.
Low intake, poor absorption or excess removal of vitamin B 12 in body causes vitamin B 12 deficiency.

Thanks and take care
Dr Shailja Puri

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Brief Answer:
3 months tt is minimum required, symptoms will dsiappear no fluctuation,

Detailed Answer:
Hello and welcome again,
Three months is an ideal time for the iron stores to get replenished.
The symptoms of iron deficiency will disappear after iron stores are full. the symptoms will not fluctuate.
The anxiety and panic attacks will disappear once iron is stopped (if they are due to iron).
There are no withdrawal symptoms of iron therapy.

Thanks and take care
Dr Shailja Puri

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