Guest guest Posted August 2, 2002 Report Share Posted August 2, 2002 I am 3 years post op, proximal RNY. I have the same problem as you-SEVERE iron deficiency, normal B12 & folate/folic acid. In fact the B12 and folic acid have gone UP in the past year--I take B12 sublingually (Under tongue) and some heavy duty vitamin/mineral supplements. Very weird, I know, but it CAN happen, even though most docs would argue the point-I am living proof. When I first was diagnosed with severe anemia and had my first blood transfusion 2 years ago, my PCP ordered all kinds of tests because he simply could NOT believe that I did not have a GI bleed. He also had me thoroughly check out gynecolically to make sure nothing was wrong there, either. Everything was perfectly normal. I will say this much--I have always had very regular, EXTREMELY heavy periods since I was 12 years old-I am now 52 and STILL have them, every single month! I was moderately anemic for many years , with a red blood cell count of between 9.5 and 10, even before my surgery, most likely because of this monthly heavy blood loss. SO when I lost more iron after the RNY, I diped down to very low levels-between 6 & 7. Perhaps that is your problem too-maybe you were already somewhat anemic pre-op? I just had a procedure done 3 months ago to reduce heavy menstrual bleeding-it's called an endometrial abalation. Most people have great success with it, and it's not painful--unfortunately it did not significantly reduce my menstrual bleeding, but I am the exception, not the rule. If you want to chat about your iron issues, post to me privately and I will give you all the info I can. I have been dealing with this for over 2 years now. By the way, I have had 2 dexa scans since my RNY surgery- the first one after 1.5 years, and the second one just last month--my bone density is very good. So, since we malabsorb calcium and iron from the same area of the digestive tract ( I believe?), you would expect me to be calcium deficient as well, which only furthers my theory that much of my iron damage was pre-surgical. Your body has 2 kinds of iron--circulating and stored(ferritin). My ferritin level is 1--which means I essentially have no stored iron. Any iron that I can manage to get-from supplements, IV treatments, transfusions, just gives a temporary boost to the circulating iron. It is never enough to replace the stored iron. I, for one, am PRAYING for menopause LOL!! Hope this helps, Fran Quote Link to comment Share on other sites More sharing options...
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