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Iron Anemia?

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It's been 20 months since my surgery (open rny) and I've been

fighting iron anemia the entire way. Did the pills..the shots for 12

weeks and now have had two iron infusions 6 months apart. Is there

anyone else out there who has this problem or solutions. The infusion

did help ALOT!!! The first one I believe was 1000 mg..the second doc

(first one no longer is located here) so the second one said

nope..500 and more often. I'd like to find out if anyone else has

been having them and what they are using (just for info to take back

to hemotologist too cuz this is all fairly new to her). I'm pretty

much at goal and eat plenty of liver and spinich etc but am told im

just not absorbing the iron.

thanks,

Debbie

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In a message dated 7/13/02 3:52:29 AM Pacific Daylight Time,

bobmiedema@... writes:

<< I have never gone through shots or infusions for this

problem, nor have I ever heard of them... but don't believe

they are of any benefit. >>

Well, Bob. I have just spent the last three months off of work due to severe

anemia, and I do take iron supplements, liquid or pill form every day, and

also went through once a week iron injections and B12 shots in the hip, which

did not hold, and then on to THREE times a week iron by IV from a

hematologist. As of last week, I am down to once a week iron IV, and my

hematologist said that would probably be for LIFE, although when they drew my

blood my hgb had dropped a little bit, so, maybe I'm not " there " yet. I

started out with a hemaglobin of 7, hematocrit of 25, and a ferritin (which

is your iron storage " warehouse " ) of 2 (IT SHOULD BE ABOUT 100 or MORE). My

hematologist said that virtually had " zero " iron and had we not caught it

early enough, and I just kept going like I was I could have died.

It was my bariatric surgeon who insisted I see a hematologist. Had to

convince the PCP to send me for a consult, and actually ended up finding one

on my list of docs for my insurance, and since I have a PPO insurance, I

don't need a formal referral, so I went on my own (of course originally

referred from my surgeon - in Washington State - I live in CA now).

Good thing I did, and now I am going back to work on a part time basis to

start on Monday, but will probably continue the IV iron at least once a week

for life, along with the iron pills and/or liquids.

B

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Debbie,

Well, today marks my 23rd year, since I had my " open "

gastric bypass surgery.

I can assure you, that every day, of my post-op that I have

been anemic. Iron is only digested from your food intake in

the lower portion of your stomach. As an RNY patient, we no

longer have the use of that vital processing in our system.

We are required to depend, lifelong, on taking daily iron

supplement to compensate. I have started again on taking my

protein supplement shakes, each day, and can feel a gradual

increase in my stamina and strength and also evidence of my

iron supplement absorbtion. The red blood cells count is

beginning to build back up...

I have never gone through shots or infusions for this

problem, nor have I ever heard of them... but don't believe

they are of any benefit. All, bariatric Sourgeons state that

because of the surgery's malabsorbtion problem, which is

just what helps us to lose our excess weight, is also the

main problem with our having anemia. So, it is going to have

to be iron supplement, daily for the rest of our lives. You

will gain very little benefit from the nutrional value of

iron enriched foods, as you can't absorb/digest the

neutrants from them...that is why the surgery is called a

malabsorbtion alternative to Obesity.

/// Bob

///Bob

Iron Anemia?

> It's been 20 months since my surgery (open rny) and I've

been

> fighting iron anemia the entire way. Did the pills..the

shots for 12

> weeks and now have had two iron infusions 6 months apart.

Is there

> anyone else out there who has this problem or solutions.

The infusion

> did help ALOT!!! The first one I believe was 1000 mg..the

second doc

> (first one no longer is located here) so the second one

said

> nope..500 and more often. I'd like to find out if anyone

else has

> been having them and what they are using (just for info to

take back

> to hemotologist too cuz this is all fairly new to her).

I'm pretty

> much at goal and eat plenty of liver and spinich etc but

am told im

> just not absorbing the iron.

> thanks,

> Debbie

>

>

>

> Homepage: http://groups.yahoo.com/group/Graduate-OSSG

>

> Unsubscribe:

mailto:Graduate-OSSG-unsubscribe

>

>

>

>

>

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,

Wow!

My hemo has never been below 9.8....

You are fortunate that you are being taken care of.

You have to take your physician's advice and follow their

advice...we are all different. I am anemic, but have NOT so

debilitating as yours.

Well, we all have to make adjustments after having had

surgery for weight loss.

Take care of yourself,

///Bob

Re: Iron Anemia?

> << I have never gone through shots or infusions for this

> problem, nor have I ever heard of them... but don't

believe

> they are of any benefit. >>

>

>

> Well, Bob. I have just spent the last three months off of

work due to severe

> anemia, and I do take iron supplements, liquid or pill

form every day, and

> also went through once a week iron injections and B12

shots in the hip, which

> did not hold, and then on to THREE times a week iron by IV

from a

> hematologist. As of last week, I am down to once a week

iron IV, and my

> hematologist said that would probably be for LIFE,

although when they drew my

> blood my hgb had dropped a little bit, so, maybe I'm not

" there " yet. I

> started out with a hemaglobin of 7, hematocrit of 25, and

a ferritin (which

> is your iron storage " warehouse " ) of 2 (IT SHOULD BE ABOUT

100 or MORE). My

> hematologist said that virtually had " zero " iron and had

we not caught it

> early enough, and I just kept going like I was I could

have died.

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I went to see my doctor this week because I became convinced that something

changed kind of suddenly about a month ago. Not screaming drastic, but a

little more food and quicker emptying. I know the mind plays tricks and my

weight has not gone up, but we're doing an upper GI to find out if the

staple line is intact.

Anyway, I was trying to talk to him about malabsorption and he's never

'fessed up to it before. I suscpected it's because he didn't want us

" counting " on free calories. This time, he said of course there's probably

some malabsorption with proximals and that's part of why it works. When I

eat a high fat meal, I get the " oil slick " in the toilet. Not exactly

scientific, but on that note, I rest my case.

in Austin

RNY April 1998

Re: Iron Anemia?

> The popular myth is that proximals are not malabsorptive, only distals

are.

> They taught it at the conference, even.

>

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