Any medfags here?
I have non-anemic non-dietary iron and vitamin b12 deficiency.
My iron levels were 30 (normal range 27-225 - still low for a 6' male)
My vitamin b12 levels were 127 (normal range 135-880)
I don't know how I'm not anemic. I eat plenty of foods that contain those two things. Doctors think it's a gastric issue. Either way I want injections to top me up.
Are doctors able to make like a vitamin cocktail of iron, b12 and folate? I don't really want 2-3 separate injections each month.
Would be greatly appreciated.
Not a medfag, but your stats seem fine. The values given are nominal, not end-of-the-world-you-die-now values.
As for gastric and such. Are you some kind of diet? Specifically fat diet (fatty acids are involved in most vitamin absorption) or sugar/carb diet (the gut flora that helps seperate the iron into absorbable form needs simple sugars).
>>17775823
Nah I'm not on any specific diet. My doctor asked if I was a vegetarian or vegan, was a little bit shocked. I eat plenty of brown carbs, white meat, red meat, green veg, and haven't cut out fats of any kind, nor have I cut out sugars of any kind.
I was screened for Coeliacs and it came back negative.
My B12 is below normal, and my Iron level is 'small woman on her period' levels. I have quite a few symptoms of deficiency, including fatigue, generalized weakness etc. etc., nothing neuropathic as such that I know of, maybe a bit of coldness.
It's quite likely I'll need injections for B12 at minimum, I just don't want to have separate iron injections. I'd rather it were one big cocktail.
Bumping for any advice. I don't want multiple assjections.
Iron supplements are usually given orally, especially if they're not life threatening needs-multiple-blood-transfusions levels of low. If you need it though, it's through an IV drip, not a intramuscular injection.
>>17776537
My problem isn't low dietary intake, my body isn't absorbing it through the stomach/small intestine properly.
Hematologist here.
Parentheral iron is given by intravenous inyection, and B12 and folate by intramuscular inyection, so no, you will have to get separate inyections. Moreover, IV iron should be taken once a week or so until deposits are full.
Anyway, if you have normal hemoglobin with no megaloblastic changes or sympthomatic B12 deficit, you dont need any treatment.
>>17777671
I've had serious chronic fatigue, including dizziness, weakness, and at certain periods feeling like I was going to faint repeatedly. Also had leg pain for like a year at one point, although it subsided. All signs of deficiency.
My MCV etc. isn't low, but apparently even with non-pernicious anemic deficit in B12, and a general non-anemic iron deficit, can still cause those symptoms.
It has to be something malabsorption related, but until its diagnosed and even when it is, wouldn't it be best to top up those things for the time being?