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I have tremors and fatigue which improve with Iron and worsen with periods. Please advise.

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I have tremors and fatigue which improve with Iron and worsen with periods. Please advise.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Singh Smrita

Medically reviewed by

iCliniq medical review team

Published At December 6, 2017
Reviewed AtSeptember 25, 2019

Patient's Query

Hi doctor,

I am just wondering if it is possible to have neurological symptoms with low ferritin levels. My hemoglobin is 13, but the last check on ferritin said it was 5.3. I am suffering severe internal tremors, fatigue, cold hands and feet and weak shaking legs. My symptoms improve while on a short course of iron, but the minute my period arrives, I am a mess again with my symptoms back to square one. Any advice would be appreciated.

Answered by Dr. Singh Smrita

Hello,

Welcome to icliniq.com.

  • A low ferritin can cause fatigue and weakness.
  1. CBC (complete blood count)
  2. Differentials.
  3. Hemoglobin.
  4. RBC (Red blood cell).
  5. Hematocrit.
  6. RDW-CV.
  7. MCV.
  8. MCH.
  9. Serum iron.
  10. TIBC (total iron binding capacity).
  11. Saturation rate.
  12. Ferritin.
  • I would advise you to continue taking iron tablets till your ferritin levels are at least 65. You could try taking iron tablets along with lemon juice in water as it will increase the absorption.

For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist

Treatment plan

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

Dr. Singh Smrita
Dr. Singh Smrita

Hematology

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total iron binding capacitysevere fatigueweaknessiron defeciency anemiacold and sweaty extremitiestremorsserum ferritiniron supplement

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