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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Pernicious Anemia. History Of Colectomy. Taking Iron Supplement. How To Get More Energy?

I have been diagnosed with pernicious anemia due to my Crohn s I had to have a total colectomy 5 years ago. I now have absolutely no energy and feel lethargic. I just purchased iron liquid supplement with all the B s and other important vitamins . How do I get more energy and does this progress into a more serious problem if my body isn t producing the proficient amount of RBC s to give oxygen to my blood. What else can I do to help with getting more energy
Mon, 23 Sep 2013
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Pathologist and Microbiologist 's  Response
Hi
Welcome to HCM
As you have pernicious anemia, you are already taking supplements. So no need to take more pills. You should get few investigations- Serum Fe, B12 and folate levels; as sometimes the supplements are not reabsorbed properly by body. In that case you can get injectables. Moreover, you should take healthy food for more vitamins, minerals and proteins for more energy and also should do some exercise.
If your body isn't producing efficient amout of RBCs, anemia can progress and can lead to symptoms like pallor, breathlessness etc.
Thanks..
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Pathologist and Microbiologist Dr. Shailja Puri's  Response
Hello and welcome to HCM,
You need to get your hemoglobin and all RBC parameters- MCV, MCH, MCHC, RDW, iron studies and vitamin B12 and folic acid levels.
In case there is iron deficiency anemia, you need to take iron supplements.
In case there is vitamin B12 and folic acid deficiency, you need to take vitamin B12 and folic acid supplements.
Lack of energy can be due to due to dietary deficiency of carbohydrates.
Include lot of carbohydrates in your diet.
Carbohydrates rich foods are whole grains, oats, wheat bran, and rice.
Protein rich foods also need to be included in your diet in sufficient amounts.

thanks and take care
Dr Shailja P Wahal


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Have Pernicious Anemia. History Of Colectomy. Taking Iron Supplement. How To Get More Energy?

Hi Welcome to HCM As you have pernicious anemia, you are already taking supplements. So no need to take more pills. You should get few investigations- Serum Fe, B12 and folate levels; as sometimes the supplements are not reabsorbed properly by body. In that case you can get injectables. Moreover, you should take healthy food for more vitamins, minerals and proteins for more energy and also should do some exercise. If your body isn t producing efficient amout of RBCs, anemia can progress and can lead to symptoms like pallor, breathlessness etc. Thanks..