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Hemoglobin......how low to go?

Posted , 3 users are following.

jax15282
jax15282

I am Canadian and our protocol seems to indicate therapeutic phlebotomy should continue til ferritin under 100 as long as hemoglobin level is no lower than

than 105-110

My US doc prescribed no lower than 110.

Iron Institute strict protocol ...no less than 125.

what criteria do Great Britain and Australia follow....anybody else?

I am inquiring re therapeutic phleb...I know for reg donation it is 125 for women, 135 for men.

0 likes, 7 replies

7 Replies

  • sholland1975
    sholland1975 jax15282

    Posted

    Hi, I am from the UK and my doctors like to keep my ferritin below 50, but its caused me issues with tiredness and muscle spasms. I am now going to keep it around 100.

    • jax15282
      jax15282 sholland1975

      Posted

      Asking about how low your HEMOGLOBIN was allowed to go during phlebotomy.

  • sheryl37154
    sheryl37154 jax15282

    Posted

    In Australia we should be de-ironed to <50, but then can settle at a higher rate if suits. This follows the International haemochromatosis protocol. TS% should also be brought down to <50 and not rise again.

    Prof Paul Adams, a founding figure of the Haemochromatosis Association in Canada believes >650 is ok!!! I get arrythmia and chest pain at a ferritin level of 80 or even less so that is no good for me. I am ok mid 20s but it could be much different for others, that is, after being de-ironed to <50.

    I often refer people to the Iron Disorders Institute 'Helpful Forms', Haemochromatosis Reference Chart, which states Induction State = 50-75 with TS% 40, and Maintenance at 50-150 with TS% 40.

    • jax15282
      jax15282 sheryl37154

      Posted

      i am inquiring about HEMOGLOBIN levels during phlebotomy regime.

    • sheryl37154
      sheryl37154 jax15282

      Posted

      Sorry - but that was not clear. It would be same as regular donation.

    • jax15282
      jax15282 sheryl37154

      Edited

      As indicated in my initial question ( Hemoglobin how low togo) ...in Canada regular blood donations require hemoglobin no less than 125....

      For therapeutic phlebotomy it is 105-110, in US it is 110.

      still wondering what is it in Great Britain.

      Sheryl indicates that in Australia it is the same for both but Im not sure what that number is???

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