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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Hemochromatosis, Done Blood Test. Recommendation?

Hi my son was diagonose with hemochromatosis. He is 24yrs old. We had a blood test done and it was at 430. What is your recommendation on what he needs to do? We have cut back on his Red meat intake and no shellfish e.g. (beef, lamp, and clams). He is also starting to work out 2-3times a week. Is there anything else? and what is the cure for this?
Mon, 10 Sep 2012
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Gastroenterologist,  's  Response
Hi,
Welcome to healthcare magic!
The information provided is inadequate.
I presume that the number 430 indicates his serum ferritin level.
You have not mentioned about his transferrin saturation and his liver function test report.
Also whether genetic testing has been done.
If genetic testing has been done and more in favor of hemochromotosis and if his liver enzymes are normal, then therapeutic phlebotomy should be done ( a form of treatment where blood is let out). if the liver enzymes are high a liver biopsy has to be done for further evaluation to assess the damage to liver.
the treatment essentially consists of routine therapeutic phlebotomy and if end stage liver disease has developed, then liver transplantation should be done.
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Have Hemochromatosis, Done Blood Test. Recommendation?

Hi, Welcome to healthcare magic! The information provided is inadequate. I presume that the number 430 indicates his serum ferritin level. You have not mentioned about his transferrin saturation and his liver function test report. Also whether genetic testing has been done. If genetic testing has been done and more in favor of hemochromotosis and if his liver enzymes are normal, then therapeutic phlebotomy should be done ( a form of treatment where blood is let out). if the liver enzymes are high a liver biopsy has to be done for further evaluation to assess the damage to liver. the treatment essentially consists of routine therapeutic phlebotomy and if end stage liver disease has developed, then liver transplantation should be done.