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Forum Name: Hematology Topics

Question: recurring ferritin level drops


 shimmers221 - Thu Jan 29, 2009 1:55 pm

Hello,
I had gastric bypass 4 years ago, and all was well with my bloodwork (except i was born anemic) and health until last year (3 years post-op). Since july of 2008, my ferritin has dropped from a 55 in july to a 2.2 in October. They proceeded to start iv transfusions of ferritin(5 transfusions in all) they accomplished getting my ferritin to reach a 95.3, while I still remained anemic. 3 weeks later my ferritin dropped to 68, 2 weeks after that i registered 40 (and still anemic). They now wish to start the transfusions again, they treat the problem without trying to find the reason for the dropping.
ferritin levels:10/15: 2.2
10/23: 2.4
11/14: 55.8
12/4: 54.9
12/22: 95.3
1/15: 68
1/28: 40

Microcytosis present, moderate anisocytosis, slight poikilcytosis, few schistocytes, hypochromid slight and few ovaocytes.
 Dr yasmin taha MD - Sat Feb 07, 2009 3:51 pm

Iron is absorbed in the duodenum. Gastric bypass removes this part of small intestine. The body starts to use up its iron stores which leads to a decrease in iron stores (ferritin) and the only way to replenish the iron stores is via iron injections in order to prevent iron deficiency.

Your red cell morphology is consistent with iron deficiency anemia.

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