FBC & Serum Ferritin
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Hi,
I've been having ongoing issues with GI blood loss for a while now which have thankfully been resolved approximately 3 months ago.
On my last FBC I was anemic with normocytic RBC, low RBC count and normal MCH. I also had a serum ferritin of 9.
At that moment in time I was experiencing regular heavy blood loss which was stopped via a procedure.
At that moment I also decided to stop being a vegetarian after 5 years to try and increase my heme iron intake.
Fast forward 3 months and my new results are (new vs old):
serum ferritin7. vs 9
RBC 6.08. vs 4.25
haemoglobin estimate. 138 vs 109
hematocrit.0.435. vs 0.350
RBDW. 19% vs. 13.3 %
MCV. 71.5. vs 82.4
MCH. 22.7. vs. 25.6
MCHC. 317 vs 311
So my RBC has gone up (good) as has my haemoglobin (good). but i am now microcytic and hypochromic.
Can anyone explain what's potentially going on.
i assumed if i stopped bleeding and ate more iron rich foods like red meat, that my ferritin would have increased rather than decreasing.
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