Iron Deficiency question......

Jeff Waldrop
on 7/26/22 12:34 pm - Westlake, LA

I am now 16 years out and I am now informed that I need to Iron Infusion (x2). I wonder why after 16 years, my iron levels are low. My annual physical revealed I am anemic. I did my Colonoscopy and an Endoscope to rule out a bleeding ulcer in the pouch. None. He said all was good and now wants to do (2ea) Iron Infusions....

I would like to hear from anyone else who has had a similar experience. My PCP put me on Iron Tablets (Ferrous Sulphate 320 mg). The Gastroenterologist said that I won't absorb enough of that to make any difference. My PCP knows very little about Bariatric Surgery.

Jeff

Partlypollyanna
on 7/26/22 2:35 pm
RNY on 02/14/18

it's not uncommon for iron issues given the malabsorption. I take preferrin for my iron and 2X the dose. When you look back at your labs, do you see the trend of the ferritin dropping? You should watch it after the infusions plus the daily supplementation and see how it trends over time.

HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150

Jen

White Dove
on 7/26/22 4:05 pm - Warren, OH

I was about 12 years out when my body stopped absorbing the ferrous sulphate. I get an infusion about once every two years. I use Proferrin which costs more, but keeps my iron levels up most of the time.

Real life begins where your comfort zone ends

Amy Liz
on 7/26/22 7:58 pm
RNY on 11/21/16

Which Proferrin do you use? I was looking into switching from my bariatric iron chews to a pill and there are a couple different ones.

SW 309 GW 165 LW 150 CW 221.4

White Dove
on 7/26/22 8:40 pm - Warren, OH

Proferrin ES Heme Iron Polypeptide Dietary Supplement Tablets, Blue/Green, 90 Count, Basic

Real life begins where your comfort zone ends

Jeff Waldrop
on 7/27/22 4:30 am - Westlake, LA

I am missing a couple of my lab reports but now I see the Hemoglobin has continually dropped:

2016 15.2

2017 16.0

2019 13.3

2022 11.1

Partlypollyanna
on 7/27/22 5:58 am
RNY on 02/14/18

You should look at your Ferritin (iron store) as well.

HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150

Jen

Jeff Waldrop
on 7/27/22 6:58 am - Westlake, LA

Ferritin does appear anywhere on my 3 page report. I just made an appointment to see my PCP on Aug 5. That may be something that he needs to request on my Blood order. I really like my PCP. He doesn't know much about Bariatric issues. He is relatively young. Everyone is to me.

Thank You, Jen

Jeff W Waldrop

Partlypollyanna
on 7/27/22 8:02 am
RNY on 02/14/18

I also have a great GP that knows very little about post bariatric surgery. She will order any of the blood tests I ask for and helps me to monitor the trends.

Someone shared this list with me early on so I use it to make my requests to my GP, plus A1C.

Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose, BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase)

Pre?albumin:
Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)

Hep panel: includes ALT (SPGT) & GGT)
Phosphorous - Inorganic:
Magnesium:
Uric Acid:
Thyroid panel: (T3U, T4, FTI, TSH)

Hemogram with platelets:
Iron: TIBC, % sat
Ferritin:
Zinc:
Vitamin A:
Vitamin D: (25?hydroxy)
Vitamin B?1: (Thiamin)
Vitamin B?6: (Pyridoxine)
Vitamin B?12 & Folate:
Serum intact: PTH
Osteocalcin:
Vitamin K:
PT:
PTT:

HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150

Jen

Jeff Waldrop
on 7/27/22 11:36 am, edited 7/27/22 4:46 am - Westlake, LA

Wow, this is so helpful! I have an appointment with him next Friday on the 5th of Aug. I will brings this list and make sure he puts into my standing lab order.

So, I am gonna see my PCP on the 5th, talk about the two infusions that are now scheduled for the 12th and the 19th and go from there.

Thank you very much, Jen.....

Jeff W Waldrop

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