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Old Sat Apr 16, 2011, 11:11 AM
tytd tytd is offline
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Join Date: Jul 2009
Location: Southeast, USA
Posts: 132
Anemia

Hello Tohobo,
I certainly agree with what Marlene has advised. You could have B12, folate or iron deficiency. Also you don't mention your creatinine as significant kidney disease can give you anemia. You may have a mixed anemia with more than one cause. Even though your ferritin is within normal range you could have some iron deficiency as well as B12 deficiency. You don't mention your age. Have you had any stomach surgery or anything that would cause malabsorption of nutrients. Or could you be losing blood in the stool? Your weight loss is concerning. If you are in an older age group, have you had any colon cancer screening? Do you drink alcohol or are you on any medications which might be causing the problem? I would ask your GP to run a MMA (methylmalonic acid) level to check into the borderline B12 level, a creatinine if you haven't had it, folate level and do some home stool hemoccult checks to make sure you are not losing blood in the stool. Perhaps these could be done before your appointment with the hematologist or maybe they have already been done by your GP. If these don't shed light on the problem then it sounds like a BMB would be reasonable. Of course your GP is in a much better position to advise you than us. Good Luck tytd
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possible low to int-1 MDS with predominant thrombocytopenia, mild anemia, dx 7/08, in watch and wait mode
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