Recently Answered Questions
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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 »
How can excess iron be removed from heart and liver in a thalessemia patient?
Query: Hello doctor, My brother is a Thalassemia major patient. He goes through regular bi-weekly blood transfusions. He has been also taking one Desferal injection on daily basis. Recently T2 MRI scan was done for him which shows a severe amount of iron in heart and liver. I need your expert advice on ch... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Sorry to hear about your brother's condition. To treat chronic iron overload in the body due to thalassemia major, he can be given an intravenous injection or subcutaneous infusion of Desferal. Usually, in such cases, a 1 to 2 gm daily dose of Desferal might be neede... Read Full »
Can having soy milk result in black-colored stools?
Query: Hello doctor, My kid is 19 months old and she has asthma. We are giving her 6 to 7 fluid ounces of fortified soy milk twice a day as she is not interested in drinking regular milk. She has dark stools when she drinks soy milk. Is it safe to give soy milk to kids? Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, it is safe to give soy milk to the child as long as she is not known to have any soy-protein allergy. Please check for the iron content of the soy-milk product that you are giving. It most probably must be because of the iron-content of the soy-milk product that ... Read Full »
I am taking iron supplements. Do I need chelation treatment?
Query: Hello doctor, I got my blood test done and I am attaching the test reports. I took the iron supplements for a while before the blood test as my iron levels were very low. I was wondering if my iron saturation means that I have iron stocked in my organs and if it will return to normal by stopping the... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I went through your reports (the attachments removed to protect the patient's identity). The reports are fine. Iron saturation is high because you are taking supplements. I suggest no treatment is currently require... Read Full »
Do I have ferroportin disease if my ferritin level and transferrin saturation are high?
Query: Hello doctor, I am a 29-year-old male, and I fear that I might have ferroportin disease. I persistently have high ferritin levels, and my transferrin saturation is also mildly above the normal range. I have also looked at my genotyping on chromosome 2 and noticed a single nucleotide mutation for m... Read Full »
Answer: Hello, Welcome to icliniq.com. Having H63D (histidine at amino acid position 63) carrier does not indicate a diagnosis of hemochromatosis. Similarly, you have one of the gene alleles for ferroportin disease. However, the transferrin saturation should be low in ferroportin disease. On the... Read Full »
What causes an iron deficiency or over absorption?
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. Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: It appears to be an early iron deficiency. Serum ferritin would have been more helpful in gauging the iron stores. Interaction between vitamin C and or... Read Full »