Can someone tell me by my blood test results if I have iron deficient anemia or B12 anemia?
This week labs: Total Iron 25, TIBC 414, %Transferrin saturation 6, Hemoglobin – 10.3, Hematocrit 34.1, MCV 71, MCH 21.3, MCHC 30.1, Red Cell Dist. Width 32.7, Neutrophils 63, Ferritin 7, Labs 30 Days Ago: Total Iron 12, TIBC 456, Transferrin sat 3, Ferriitin <1 Treatment has consisted of weekly B12 shots and Ferrous SO4 325mg tabs 3X daily, although only tolerated 1 -2 doses day... All other enzymes, panels in normal range. FYI gastric bypass 8yrs ago.
White Blood count 7.7
Red Blood count 4.84
-Anisocytosis 3+
-Microcytosis 1+
Female, Caucasion 37yo
To be clear I am under Dr's care, well he's on vacation -saw PA. I have been referred to a specialist, to identify source of anemia....just impatient.
It would appear you have an iron deficiency anemia. Normal reference range for MCV is 80-100 (some labs vary slightly from this) and your’s is 71 indicative of an iron def. Total iron range is usually 50 to 170 for women and yours is 25. You have an elevated RDW (red cell distribution volume) which indicates elevated erythrocyte anisocytosis which you confirmed in your additional details. An elevated RDW with your microcytosis (MCV being <80) indicates an iron deficiency anemia along with low ferritin, iron and elevated TIBC. A low reticulocyte count would help to establish this diagnosis as well. Perhaps you should discuss this with your doctor rather than answers.yahoo.com so as to be sure you aren't experiencing any sort of chronic bleeding or other confound issues that may contribute to your anemia.
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