Maintenance Program for Hemochromatosis

Posted , 11 users are following.

After reaching the required level of 50 or below, I was told I didn't need to be tested for 3 months.  Was wondering if anyone on the maintenance  

program has had to have more phlebotomies or has it remained a constant at lower than 50?

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  • Posted

    It is pretty common to not be tested so often.  In fact, my tests were reduced to no more than every 6 months by the haemotologist.  However, now that I am seeing my haemotologist privately, or maybe it is because I have asked for it, my haemotologist gives me two requests, one for before I visit him each 6 months and one for before my 3 monthly venesection in between.  I have also asked my gp for a pathology request at times too.  I just feel more comfortable finding out what my levels are before each maintenance phlebotomy.  I keep a spreadsheet of my results.

    Your ferritin levels might go up artificially at times, due to a cold or other type of infection or inflammation.  Just keep your phlebs regularly at 3 months.  When I tried to move to 4 months, I end up with all sorts of problems.  Everyone is different though.  On average, your level will increase by at least 25 points between 3 months, and then reduce by that much after phlebotomy.

    If you are homozygous C282Y, you will always need regular phlebs.

     

    • Posted

      Hi Sheryl. That was interesting to read your comment. I'm about to enter the maintenance phase. My level was 78 last week, so I'm almost at 50. I've now registered as a blood donor as an hh donor, which allows me to go every 6 weeks if I wanted to. I'm hoping I'll be able to only go every 3 months like yourself. Can't believe I've been going weekly for a year now. Will be heaven to only have to go every few months! I was surprised when you said the level only goes up by 25 every three months...that's a lot less then I thought. Still, my regular ferritin tests they want me to have initially will let me know how my levels go.

      All the best.

      Mike

    • Posted

      Hi Mike, yours might take a while to settle down as you have only just come off weekly venesections.  This seems a long time to be on weekly venesections.  From weekly, I went to fortnightly for a while, then monthly, etc.

      Have you worked out how much, if any, you were loading between venesections?  Or did you notice by how much you were reducing your ferritin level each venesection, or, as you would not have been tested every time, every period you were tested?

      At one point I was down to a ferritin of 8.  I did not feel bad for it.  13 a couple of times too.  I prefer to keep well below 50, say about 34, then about 24-25 is added by the 3 month period, and that is how much is generally removed when I have a venesection.

      If you have not already done so, try to get a copy of all your results and venesections and keep a spreadsheet record.  Make a note of when you feel best.

      But I noticed that when my level has gone down to 22-24, my TS% finally reduced from toxic levels.  That happened after I started taking 100mg aspirin per day.  But it was back up again prior to my last venesection, so maybe my body has adjusted to the aspirin and gone back to its old habits!!!

      I think regardless of what the "norm" is, for we HH people, we should keep our levels low.  Different for everyone of course, some might feel better with a higher level.

    • Posted

      I donated last week & the nurses were surprised that I would only be donating every three .months. They said that most people with HH donate every 6 weeks. You might like to ask about this, Mike.
    • Posted

      Hiya...

      Thanks for all that. I actually feel really good anyway...have done most the time. I run, walk for miles. My only symptom is the iron fist. That's still the same, but pain has really eased. My venesection levels sometimes went down by 100 or 200...especially when it was much higher. More recently it goes down by 25, or 20..last week by 10. I do notice that they take make less blood sometimes as well, which of course makes a difference. Most other patients I've spoken to have all been going for a year or so as well..so seems quite normal. My level was 2000. Theirs is sometimes 3 or 4000 initially. They get the level to 50 at my hospital, then tell you to become a blood donor. I've registered now...have my first one in July! Will be nice to finally donate blood than have it binned! Once I'm at 50 with the hospital, they'll monitor me every few months for the first year to see how many I might need a year. They say average is 4 times, some more and some less.

      As I say, with me I do feel very good, keep active, eat well...very little meat, fish, brown pasta and rice, plenty of calcium and tannins in tea...take supplements of turmeric, green tea extract, IP6(read up about this) quite amazing stuff...most powerful anti oxidant...natural...and from Japan...can get it on Amazon.

      Even when diagnosed at level 2000, apart from painful joints in hand I felt great with running, Karate etc....so, hope to carry on feeling fine.

      I've learned meeting all the other patients that it's so individual this condition. Some people's levels are 600 and they have liver issues or extreme fatigue that they can't get out of bed for days on end. I feel I've been very lucky so far.

      Thanks for taking the time to chat....has been so helpful chatting to folk, and joining the Haemochromatosis Society....

      Cheers Mike

    • Posted

      Hiya.

      Thanks for that.

      I only go by what other patients tell me. I work with a colleague who has hh. He's been going four times a year for the last six years. His level stays below 100. The Haemochromatosis Society say that most their members go about 4 times a year. I'm told it's so individual this condition. Some go once a year etc. My doc says I'll be monitored for the first year where they can work out what's best for me. As a blood donor I can go every six weeks, and that's going to be my plan initially...and over the year if it works out I need less, great. If I need more, then the hospital will do a couple too. It's such a journey all this...finding out new things daily. The main thing with me is that apart from my knuckle pain and iron fist...I've been feeling really good. Running and walking regularly, changed my diet...very little alcohol.....

      So, I'll start off six weekly and see how it goes. Even that will be luxury compared to every week for the last year! My poor, scarred veins!

      Chat soon...😃

  • Posted

    After initially posting about the maintenance program, I was inspired by the comments from you all.  I believe we all agree that this is an individual disease regarding the treatment, side effects, etc. I will see the Dr. again in a couple weeks and prior to my visit my levels will be checked.  I have not done anything since the last phlebotomy in Februrary.  I did want to donate blood prior to the upcoming Dr. visit and still not sure if I will be doing that.  I'm torn as I don't want to change the outcome on my next visit, so may wait to see what happens after this follow up. I will let you know when I have my follow up so we'll have yet another example of someone on the maintenance program.

    I know many of you mentioned the "iron fist" and not sure what you are speaking about.

    Good luck to all! 

    • Posted

      Hi. I can't make a proper fist. My middle finger will not go in all the way and form a fist, as my joint is solid like iron! Plus I have pains in the joint. That's my iron fist. Others find another finger won't fully move into the fist position for the same reason...joint solid as iron. That's the iron fist!

      Mike

    • Posted

      Thanks for the explanation -- I have not had that type of issue with my hands so I guess I'm lucky, 
    • Posted

      Hi. I suppose it is all relative, as when I hear of the many other symptoms associated with hh, the iron fist doesn't seem as serious as others. My aching hands are a nuisance, but something I will have to live with, but it's bearable. 😃

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