Did Iron Panel Bloodwork, Need Some Advice

Pharma TRT
1

So my MCV and MCH was low from previous bloodwork and was told to get an Iron panel done.

IRON 12. 7 - 29 umol/L
TIBC 58. 45 - 77 umol/L
SATURATION 0.21 0.20 - 0.50 /1
VITAMIN B12 591. pmol/L
DEFICIENCY: < 148 pmol/L INSUFFICIENCY: 148 - 220 pmol/L SUFFICIENCY: > 220 pmol/L
60% OF SYMPTOMATIC PATIENTS HAVE A HEMATOLOGIC OR NEUROLOGIC RESPONSE TO B12 SUPPLEMENTATION AT A
LEVEL<148 pmol/L

FERRITIN 274. 24 - 453 ug/L
RBC FOLATE 2426. CDN pop:>=1200 nmol/L

HEMOGLOBIN 143. 129 - 165 g/L
HEMATOCRIT 0.43 0.39 - 0.49 l/l
RBC 5.3 4.2 - 5.8 x 10E12/L
RBC INDICES: MCV 82. 80 - 98 fl
. MCH 27. 24 - 33 pg
. MCHC 334. 313 - 344 g/L
RDW 14.7 12.5 - 17.3

WBC 8.7 3.2 - 9.4 x 10E9/L
E.S.R. 33. M: 0 - 15 mm/hr H
PLATELETS 280. 155 - 372 x 10E9/L
MPV 9.3 4.0 - 14.0 fl
DIFFERENTIAL WBC’S : A
NEUTROPHILS 4.9 1.4 -6.3 x10E9/L
LYMPHOCYTES 3.0 1.0 -2.9 x10E9/L H
MONOCYTES 0.4 0.2 -0.8 x10E9/L
EOSINOPHILS 0.1 0.0 -0.5 x10E9/L
BASOPHILS 0.00 0.00-0.09x10E9/L

is there anything I should be worrying about? Help is greatly appreciated.

2

When I was iron deficient MCHC and MCH were both below range, RDW was also high. I do experience those symptoms I had when I was iron deficient (anemia) if my iron and ferritin drop enough even though I’m not technically anemic and hemoglobin levels are normal.

It’s called iron deficiency without anemia and it is thought to be far more common than iron deficiency anemia.

3

Would you suggest I take iron supplements? I was also told I have high inflammation and am not sure what to do about that either.

4

That is it? No follow-up recommendation? You need a repeat ESR and a CRP with it.

5

I would suggest an iron rich diet and see how you do.

6

My CRP was very high the last time I did it.

7

How high is very? What does your doctor say about it?

8

It was 17.95 mg/L. Doctor did not say anything.

9

You probably know this then. I’m assuming your doctor has considered causation and ruled out the bad stuff.

Less than 0.3 mg/dL: Normal (level seen in most healthy adults).

0.3 to 1.0 mg/dL: Normal or minor elevation (can be seen in obesity, pregnancy, depression, diabetes, common cold, gingivitis, periodontitis, sedentary lifestyle, cigarette smoking, and genetic polymorphisms).

1.0 to 10.0 mg/dL: Moderate elevation (Systemic inflammation such as RA, SLE or other autoimmune diseases, malignancies, myocardial infarction, pancreatitis, bronchitis).

More than 10.0 mg/dL: Marked elevation (Acute bacterial infections, viral infections, systemic vasculitis, major trauma).

More than 50.0 mg/dL: Severe elevation (Acute bacterial infections).