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weird anemia panels & CBC
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weird anemia panels & CBC

Can anyone help me out? I'm having a hard time understanding what's going on, and my PCP doesn't know what's going on (so i was referred to a hematologist/oncologist that 'doesn't know what to tell me')

I was first diagnosed with a pretty bad b12 deficiency in April 2010.
CBC was normal
no anemia panel was done
folic acid was normal.  

The b12 was re-run in June 2010 and was still very low. I started having b12 injections 1 x every week for a month, and then 1 x a month from then on. But eventually switched to Nascobal (b12 nose-spray) when my body couldn't handle the injections. I am still to this day doing weekly b12 spray's.

In November 2010 b12 was still low, but getting higher.
CBC was normal.
iron serum-low
unsaturated IBC- high
calculated toal ibc- normal
calculated % iron saturation- low
ferritin- low

In February 2011
iron serum- Normal
Unsaturated IBC- high
calculated total IBC- high
calculated % iron saturation- low
ferritin- very low
b12- normal

March 2011
MCHC- low
band % - low
TIBC- high
calculated iron saturation- low

June 2011
RBC- low
HCT- low
MO%- high
(no anemia panel was run, cause the hematologist/oncologist is a dummy and gave up)

July 2011
Iron serum- normal
Unsaturated ibc- high
calculated total IBC- normal
calculated % iron saturation- low
RBC- high
MCHC- low
b12- normal

I know it's a lot to read but;
Can anyone PLEASE help me understand what's going on?
How can my RBC go from being too low to too high?
I can feel something is going on, but doctors turn the other cheek cause it's 'too complicated' to tell what's going on.
Does anyone have ANY ideas?
:(
Related Discussions
1756321_tn?1364494483
The RBC would of been low due to vitamin B12 deficiency.  Vitamin B12 deficiency can lead to an iron deficiency state. The ferritin (iron stores) are affected first before iron serum.  Iron needs vitamin C, zinc, vitamin B12 and folate for optimal absorption.

Most commonly, an increased RBC is due to dehydration but also include adrenal cortical hyperfunction, Chronic Respiratory Insufficiency, or Polycythemia Vera.

Causes of vitamin B12 deficiency:

Decreased stomach acid
Atrophic gastritis
Autoimmune pernicious anaemia
Helicobacter pylori
Gastrectomy, intestinal resection
Gastric bypass surgery
Malabsorption syndromes
Crohn’s disease
Celiac disease (gluten enteropathy)
Chronic pancreatitis
Bacterial overgrowth (small bowel)
Fish tapeworm
Alcoholism
Malnutrition—Eating disorders
Vegetarianism
Advanced liver disease
Transcobalamin II deficiency
Inborn errors of B12 metabolism
Certain drugs (eg: acid blockers)
Nitrous oxide
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