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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pernicious Anaemia. Palpitations, Breathlessness, Tiredness. Blood Test Done. Taking B12 Injections. Prescribed With Ferrous Fumarate. Reason?

I have been taking B12 injections every three months for the past 10 years for pernicious anaemia . I had a blood test a week ago and B12 levels were too high at over 1200. HB count is 11.2 but my iron levels are 5. I have been having palpatations breathlessness and feeling pretty tired but this has only been picked up as a yearly review. He has suggested that I take Ferrous Furmarate 210mg twice a day and then repeat a blood test in two months time. How can my HB count be ok but my iron levels so low. Thanks for your answer as GP was quite dismissive as to what happens next. Regards Julie Buttling
Mon, 16 Sep 2013
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Pathologist and Microbiologist,  's  Response
hi..
welcome to HCM..
Its a pre-anemic stage when your hemoglobin levels stay normal however Fe levels are low as body is using bone marrow iron stores for Hb.. at this stage if Fe levels are not replenished, then it leads to anemic stage where hemoglobin levels starts falling. So please restore your Fe levels by taking iron tablets.
I hope you are satisfied with the answer.
Thanks.
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Pernicious Anaemia. Palpitations, Breathlessness, Tiredness. Blood Test Done. Taking B12 Injections. Prescribed With Ferrous Fumarate. Reason?

hi.. welcome to HCM.. Its a pre-anemic stage when your hemoglobin levels stay normal however Fe levels are low as body is using bone marrow iron stores for Hb.. at this stage if Fe levels are not replenished, then it leads to anemic stage where hemoglobin levels starts falling. So please restore your Fe levels by taking iron tablets. I hope you are satisfied with the answer. Thanks.