OpenHealth Q&A

It's understandable to be concerned about your health, especially with symptoms like fatigue, hair thinning, and night sweats, combined with your iron levels trending low. Although your recent lab results indicate your iron levels fall within the normal range, the symptoms you describe could suggest that your body might still be feeling the effects of low iron stores, even if your recent ferritin levels have improved.

Explanation

1. Symptoms and Iron Levels:

   • Fatigue and hair thinning can be common symptoms associated with low iron levels, especially if levels were lower in the past.
   • The “chilly sensation” and night sweats might also be influenced by hormonal changes or imbalances, particularly in the context of your hormone therapies.

2. Understanding Your Lab Values:

   • Your ferritin level of 35 ng/ml is on the lower end of the normal range. While it has improved from previous tests, it may still be insufficient for optimal bodily functions, particularly if you're experiencing symptoms.
   • Iron saturation at 14% is also on the lower side, suggesting the body might not have enough usable iron.

Next Steps

1. Continue With Your Current Supplement:

   • Stick to your current iron supplement (26 mg of fermented iron biglycinate and 15 mg of vitamin C) as vitamin C assists in iron absorption.
   • It might take time to see significant changes, and the current regimen may eventually help.

2. Introduce Iron-rich Foods:

   • Incorporate more dietary sources of iron, focusing on both heme (found in meat and fish) and non-heme sources (found in beans, lentils, tofu, fortified cereals, and dark leafy greens).

3. Monitor Your Symptoms:

   • Keep a diary of your symptoms for the next few weeks, noting any changes in relation to your diet and supplement intake. This information can help you and your healthcare provider assess the situation better.

4. Consider Hormonal Factors:

   • Since you’re on hormone therapy, discuss with your healthcare provider how these might be affecting your symptoms and iron levels.

5. Consult Another Expert:

   • If your symptoms persist or worsen despite the changes, seeking a second opinion can be beneficial. A specialist in hematology or internal medicine might provide further insights or alternative treatment options.

Keeping an open line of communication with your healthcare provider is essential as you navigate through these symptoms. Monitoring your health and taking a proactive approach can lead to better management of your iron levels and overall well-being.