Recently Answered Questions
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I have grayish skin on my face and an increased ferritin level. Why?
Query: Hi doctor,I have grayish skin on the face, but my hemoglobin is normal. I have leucocytes at 11.1, ferritin 402, and C-reactive protein 13. I am on Zoloft Risperdal and Remeron. Kindly give your opinion. Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from grayish discoloration of the skin in the face. Again, according to your investment reports, your leucocytes level and CRP (C-reactive protein) level are above normal, and your fe... Read Full »
Why do my blood results show high ferritin levels?
Query: Hello doctor, Last October, on a routine physical, I received a ferritin reading of 535 with all other CBC/ metabolic panel tests and Iron panel completely normal. A follow up six weeks later, still showed a raised ferritin of 448 and yet another showed two weeks after that at 575 (at time of the 5... Read Full »
Answer: Hello, Welcome to icliniq.com. Ferritin levels can vary from lab to lab. It also has a variation based on fasting status and time of the day when the sample is taken. Your ferritin levels are not alarmingly high. All the major workup are done and negative. Avoid alcohol intake if any. Your BMI i... Read Full »
I have high ferritin levels at the age of 50. Please advise.
Query: Hello doctor,I am a 50-year-old female who has had an elevated ferritin level for many years now. My last ferritin level was 342, 20 days back. My ferritin level has been as high as 390. My TIBC, UIBC, iron, and iron saturation have always been within normal range. My glucose has always ranged from ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Elevated ferritin could be from congenital hemochromatosis but HFE gene mutation is negative, so it is excluded (attachment removed to protect patient identity). Secondly, a hemolytic condition also can be a possibility but serum LDH (lactic acid dehydrogenase), reti... Read Full »
I am a thalassemia major patient with HCV. How long can I live?
Query: Hello doctor, I am a thalassemia major individual with factor XIII deficiency, HCV+. I transfuse platelet or FFP daily and transfuse RCC weekly. All these things are reacting in my body. My ferritin level is 15000 after chelation therapy. This also has a bad effect every time. I am 28 years old. How... Read Full »
Answer: Hi, Welcome to icliniq.com. Your health is our concern. Based on your query, my opinion is as follows: A serum ferritin level of 15000 is too high. Along with HCV, the prognosis is somewhat poor. However, without knowing the amount of iron deposition in tissues like the liver, heart, and so on, ... Read Full »
I want to reduce my ferritin levels. Please help.
Query: Hi doctor, My ferritin level is 1500, and I want to bring it down to 150. How much will one DFO IV session or each Exjade pill reduce the ferritin level on an average? I am a healthy individual, and I do not have HIV, HCC, or any other disease. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Your serum ferritin is high, so the cause should be found out first. It can be hemochromatosis, in which excess iron is stored in the bone marrow. Deferoxamine is used for increased iron storage in thalassemia patient. For high ferritin, phlebotomy is also... Read Full »
Does Protonix cause high sugar and raised liver enzymes?
Query: Hi doctor, I have been taking Protonix for almost three weeks for acid reflux. I had some blood laboratory work done and it showed my AST 812 and ALT 1,115. Could this be a rare side effect of Protonix? My glucose also went up to 192 and lipase is 72. I do not drink, smoke or use drugs.... Read Full »
Answer: Hello, Welcome to icliniq.com. Is this the only liver function test you have? I wanted to trend it. plaquenil (Hydroxychloroquine) and Protonix (Pantoprazole) both can cause elevated liver function test, but it is relatively rare with Protonix. I also want to make sure that you are not using Aspiri... Read Full »
What is the suggested food for a baby with thalassemia major?
Query: Hello doctor, My baby girl is 3.5 years old. She has thalassemia major and her ferritin level is 3000 ng/ml. What food is good for her? Read Full »
Answer: Hello, Welcome to icliniq.com. Based on your query, my opinion is as follows: Iron intake should be reduced. Vegetarian diet will be better as iron content is low. The diet that can be followed include: 1. Importantly avoid vitamin C or citrus food up to four hours after food as it helps in impr... Read Full »
Can Deferiprone with other supplements impact my blood?
Query: Hello doctor,I have hemoglobin E-Beta thalassemia and have been undergoing treatment for 14 years, including blood transfusions and medications such as Folic acid, Vitamin B complex, Hydroxyurea, and chelation therapy with Deferasirox, Deferoxamine, or Deferiprone, depending on my condition. Over th... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello,Welcome to icliniq.com.I understand your concern. Pain in the abdomen could result from gastritis caused by consuming outside food. You can take a capsule Rabeprazole 20mg once daily for seven days. If necessary, a Helicobacter pylori test, such as the urea breath test, can be performed. Consi... Read Full »
My iron is 8.1 micromol/L and my ferritin is 578 ng/mL. Is there anything serious?
Query: Hello doctor, I am a 33-year-old male. I had metabolic syndrome. I lost 103 pounds with a low-carb diet and resistance training. My cholesterol and liver enzymes are back to normal now. I had a fatty liver which has also gone. My blood pressure medicine dose is also reduced by my doctor. In my recen... Read Full »
Answer: Hello, Welcome to icliniq.com. You are a reversal of fatty liver and control of blood pressure is expected after significant weight reduction. Your serum iron is low but hemoglobin is normal and ferritin high. I suggest you to recheck serum iron and ferritin after one month. Rest maintain your nutri... Read Full »
My son has congenital dyserythropoietic anemia. Need an opinion.
Query: Hello doctor, My 8-year-old son has been suffering from congenital dyserythropoietic anemia (CDA) since birth. He takes blood transfusions every month. His ferritin is 3205 micrograms per liter, bilirubin 4.4 mg/dL, SGPT 387 U/L, SGOT 470 U/L, and alkaline phosphatase 687 IU/L. Please suggest to me ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concern. Your son has elevated liver enzymes with high bilirubin and high serum ferritin. Elevated ferritin levels may be due to increased iron storage because of repeated blood transfusions. Heptral (Ademetionine) can be c... Read Full »