HomeAnswersHematologyiron defeciency anemiaWhat causes an iron deficiency or over absorption?

What do my blood test values indicate, iron deficiency or over absorption?

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Published At October 19, 2016
Reviewed AtJune 7, 2023

Patient's Query

Hi doctor,

My TIBC 508, transferrin 363, transferrin saturation 17%, iron 85, and total LDH 109. Do these values indicate iron deficiency or over-absorption? I am on regular Synthyroid, Singulair, Prilosec, vitamin C, and oral contraceptives.

Thank you.

Answered by Dr. Prakash. H. M.

Hi,

Welcome to icliniq.com.

Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows:

  1. It appears to be an early iron deficiency. Serum ferritin would have been more helpful in gauging the iron stores.
  2. Interaction between vitamin C and oral contraceptives has caused an abnormality in values of LDH (lactate dehydrogenase). The variations are really mild to be thought of anything abnormal.
  3. Over absorption of iron never occur unless there is a hereditary condition like hemosiderosis (iron overload disorder) or other chronic conditions.
  4. At present, there is nothing to worry. Continue the same medications as this mild variation is not to be worried about.
  5. After six months, repeat the serum ferritin. It is one of the better indicators of deficiency or excess storage. At present, only mild variation due to interactions between various medications.
  6. Continue with iron and protein-rich diet. Also, no additional supplements necessary for these.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prakash. H. M.
Dr. Prakash. H. M.

Hematology

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