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TRT, Low Ferritin, Possible Iron Deficiency Anemia
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<blockquote data-quote="JKc94" data-source="post: 103653" data-attributes="member: 18039"><p>I thought I would give an update after meeting with a different hematologist. Basically, doc said to continue taking iron supplements (recommended Slow Fe) and not do any blood donations for the time being. She said it was okay to continue TRT but just need to monitor blood work, as we all know. She did not seems concerned about anything. Drew labs in office and said to return in 4 months for appointment and repeat labs.</p><p></p><p>At this point, it has been six weeks since last blood donation and about 3 weeks since starting iron supplements:</p><p></p><p>The lab results came in and show ferritin is up to 38mcg/dl (50-180); iron binding capacity 404mcg/dl (250-425); iron saturation 9% (15.0-60.0). The CBC is normal except Lymph% is 13.2% (25-50), Lymph# 0.88 K/ul (1.0-5.0) and Baso% 4.3% (0-2.0); Base# 0.29 K/ul (0.29).</p><p></p><p>I looked at past blood work and on Jan 11, 2018, lymphocytes were a little low then, too. However, blood work done in November, August, and March 2017 showed RBCs normal except for the previously reported (in this thread) MCV, MCH issues.</p><p></p><p>Wondering if anyone has any input on the low lymphocytes. Generally, I know what it means with respect to decreased immune fighting. I have not been sick, but I have been under incredible stress since I started having symptoms at the end of December/first of January, which I believe was related to the low ferritin. I have read that stress can suppress immune system and lower lymphocyte counts. Anyone have any thoughts?</p></blockquote><p></p>
[QUOTE="JKc94, post: 103653, member: 18039"] I thought I would give an update after meeting with a different hematologist. Basically, doc said to continue taking iron supplements (recommended Slow Fe) and not do any blood donations for the time being. She said it was okay to continue TRT but just need to monitor blood work, as we all know. She did not seems concerned about anything. Drew labs in office and said to return in 4 months for appointment and repeat labs. At this point, it has been six weeks since last blood donation and about 3 weeks since starting iron supplements: The lab results came in and show ferritin is up to 38mcg/dl (50-180); iron binding capacity 404mcg/dl (250-425); iron saturation 9% (15.0-60.0). The CBC is normal except Lymph% is 13.2% (25-50), Lymph# 0.88 K/ul (1.0-5.0) and Baso% 4.3% (0-2.0); Base# 0.29 K/ul (0.29). I looked at past blood work and on Jan 11, 2018, lymphocytes were a little low then, too. However, blood work done in November, August, and March 2017 showed RBCs normal except for the previously reported (in this thread) MCV, MCH issues. Wondering if anyone has any input on the low lymphocytes. Generally, I know what it means with respect to decreased immune fighting. I have not been sick, but I have been under incredible stress since I started having symptoms at the end of December/first of January, which I believe was related to the low ferritin. I have read that stress can suppress immune system and lower lymphocyte counts. Anyone have any thoughts? [/QUOTE]
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TRT, Low Ferritin, Possible Iron Deficiency Anemia
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