I would guess that iron levels that are that low aren't going to come up using oral supplements. I hope your hematologist will do his/her homework and know how to treat a WLS patient. If he won't listen to you, shop around for one that will, or perhaps ask your surgeon for a referral to one that knows about iron absorption and WLS patients. Keep us posted.
They just need to understand malabsorption, not specifically the DS. Maybe they know about the RNY - it's still malabsorption. Go armed with printouts of articles, etc., that describe the procedures. Be willing to explain it to them. Hopefully they're wiling to work with you (and educate themselves).
My hematologist hadn't heard of the DS but had several RNY patients so he "got" the whole malabsorption. He's been great.
No amount of oral iron will help your ferritin of 6. You need infusions.
Were you on iron before that? I would guess part of the answer for an infusion would be how well did you absorb iron beforehand. I would push for an initial infusion to get you back up to speed as quickly as possible. Even if you absorb OK ( for a DS'r ) it will still be a slow process.
When my hair was falling out and my iron got really low I reached out to my mentor Charlie that helped me when I had surgery. Here is what she sent me and it has worked like a charm. Check with your doctor first :-) My labs have been great ever since.
Kathy, this works. Liquid is best but it stains teeth so if you do this, make sure to toss the iron back or use a straw to keep if off teeth. Try this until your next test. I take a whole ounce every day. We need more than the average person. Here is a site to order liquid and it's on sale for $5 a bottle. Good buy. I mix it with about 2 ounces of OJ or grapefruit juice. Makes it way easier to take. But you can chew Vitamin C supplement with it and it's best on an empty stomach. I just take it last thing at night then I have the 2 hours 'after' covered :) Iron Supplement (Ferrous Sulfate) Liquid 16 oz., 1 Bottle
Iron Supplement (Ferrous Sulfate) Liquid 16 oz., 1 Bottl... McKesson, Iron Supplement (Ferrous Sulfate) Liquid 16 oz., 1 Bottle, Betty Mills Price: $5.08 Per Bottle, MON 16162700, MON16162700, Generic OTC Meds, Minerals...
View on www.bettymills.com
Here are my iron rules. Charlie's Iron Rules:
1. Do not take calcium supplements or vitamins containing calcium within 2 hours either side of taking iron. Calcium and iron bind together and leave the body with no benefit of either.
2. Take only liquid iron and take it with a little orange juice or a chewable vitamin C....iron needs acid to absorb. Liquid isn't as constipating as pills, but if it's a problem, increase fiber during the day.
3. NO coffee or tea (herbal is ok) within 2 hours either side of taking iron. It's not the caffeine; it's the tannic acid that inhibits iron absorption.
4. NO soy products within 2 hours either side of taking iron.
5. Very important.....NO dairy within 2 hours either side of taking iron. That includes butter, milk, cream, cream cheese, ice cream, yogurt, cottage cheese.....NO DAIRY.
6. Try not to eat foods that are high in calcium or calcium supplemented when eating iron rich foods. IE.....don't have butter and sour cream on a baked potato when you have that steak J
7. Cook as much as you can in cast iron. Some iron rich foods include:
· Red meat
· Egg yolks
· Dark, leafy greens (spinach, collards)
· Dried fruit (prunes, raisins)
· Iron-enriched cereals and grains (check the labels)
· Mollusks (oysters, clams, scallops)
· Turkey or chicken giblets
· Beans, lentils, chick peas and soybeans
· ArtichokesSome calcium rich foods include:
· Dark leafy greens like spinach, kale, turnips and collard greens
· Fortified cereals
· Fortified orange juice
· Fortified soymilk
· Enriched breads, grains and waffles
HW:330 - GW:150 - MW:118-125
RW:190 - CW:130