Hi,I am Dr. Robert Galamaga (Hematologist). I will be looking into your question and guiding you through the process. Please write your question below.
hi doctor, this is my recent report my RBC report shows mild anisopokilocytosis.predominantly normocytic with ovalocytes and microcytes iron is 20 (range is 60 to 180), TIBC is 406.90 (215 to 535) % transferrin saturation is 5.28%( 13 to 45). before the treatmet i have lower b12 i.e 157(211 to 946) after the medication 16 injection b12 with combination of vit c. it becomes 335. i taken medicine livogen z and folvite in one year . my hb is reached to 11.9%.after gap of 6 months . my hb% is down to 9.6 with iron deficienc what i mention the present report above. iam suffering severe weakess along with artharities. how i will take careof this permanently . please suggest some suggeston. in the medication time my wieght is increasing like 10 kg in one year span. i have no thyroid.
improve your diet.add meat,spinach fresh vegetables and fruits to diet
avoid tea and coffee.
you may have to undergo certain tests to rule out occult bood loss like stool Routein examination, endoscopy and colonoscopy after consulting your doctor
take calcium and vitamin D supplements for joint problem and take painkillers like brufen in case of pain
Hope i have ansewered your query i am available for your help regards Dr.imran
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hi Thanks for your query i can feel your concerns your recent report is suggestive of iron deficiency while ovalocytes suggest some B12 and foic acid deficiency as well. i want to know about your dietary habits. Do you have bleeding from any site or history of malabsoption and diarrohea? the cause of iron deficiency should be sorted out and treated accordingly take iron supplements and deworm improve your diet.add meat,spinach fresh vegetables and fruits to diet avoid tea and coffee. you may have to undergo certain tests to rule out occult bood loss like stool Routein examination, endoscopy and colonoscopy after consulting your doctor take calcium and vitamin D supplements for joint problem and take painkillers like brufen in case of pain Hope i have ansewered your query i am available for your help regards Dr.imran