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Dr. Ravoof
Dr. Ravoof, Doctor
Category: Medical
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Experience:  Experienced Physician in the field of Medicine and Surgery.
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37 year old female type 1 diabetic has low hemoglobin 76 g/L

Customer Question

37 year old female type 1 diabetic has low hemoglobin 76 g/L Hematocrit 0.26 L/L WBC 7.4 RBC 4.06 total iron 2 umol/L TIBC 57 Saturation 0.04 vitamin B12 >1476 pmol/L Ferritn 3 ug/L She was seen by a hemotoligist who prescribed iv iron she bleeds vaginaly from this the blood is brown and very thin She has joint pain lethargy heart murmers she also has enlarged thyroid with benign lymph nodes on the left side She was prescribed juvenile iron tablets which turned her teeth black TSN high 7.47mU/L free T4 12 pmol/L free T3 3.7 pmol/L She also has inflammation of her tongue which a doctor told her to take large dose vitamin C which does not help She also has high mercury level 8 ug and tin level of 5.3 ug. She was checked for uterine fibroids all reproductive system is ok Question is would this mercury cause low iron ? She does consume a lot of canned tuna and has a couple of dental fillings.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Ravoof replied 1 year ago.

Dear customer,

Thanks for your question.

Her anemia is basically due to iron deficiency and this is most probably due to increased vaginal bleeding. Regarding your question, mercury may also cause low iron and this is due to gastrointestinal hemorrhage and bleeding.

Concerning her thyroid status she is hypothyroid, and this needs to be treated and with the treatment of hypothyroidism her Heavier than normal or irregular menstrual periods may get corrected.

Take care.

Customer: replied 1 year ago.
Same answer from local doctor
Expert:  Dr. Ravoof replied 1 year ago.

Dear customer,

Thanks for your reply.

Hopefully the thyroid medications were started. Please ask for the report of the peripheral smear also from your doctor where a pathologist will evaluate the smear of blood in the microscope and see the appearance of the red blood cells, white blood cells, and the platelets. Based on this report the pathologist may recommend a bone marrow biopsy also.

Take care.

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