Iron Levels Concern and Health History
Female, 37 years old, stands at 5’2” and weighs 108 lbs. Current medications include metoprolol and vitamins D and B12. Hello everyone! I find myself quite anxious as it’s the weekend and my doctor isn’t available. Over the years, I have faced various health challenges, such as reactive arthritis, which has resulted in persistent joint discomfort, along with a POTS diagnosis from last year. Recently, I've noticed some hair thinning and nails that are easily damaged, which could be attributed to my low vitamin D levels. In a recent blood test, I discovered that my serum iron level is elevated at 164, with an iron saturation of 55%. It’s puzzled me that my hemoglobin and hematocrit levels have consistently been at the high end of normal, even during heavy menstrual cycles. I’m wondering if halting my periods for five years due to birth control may have revealed an underlying issue, especially since I just stopped taking it two months ago. My diet primarily consists of vegan foods and I haven’t been taking any iron supplements, making this situation even more perplexing. What should I do? Is it safe to wait until the weekend is over before seeking help?
Answers (1)
8/9/2025, 2:50:41 PM
OpenHealth AI
It's understandable to feel anxious about your health concerns, especially with your unique medical history. You have elevated serum iron levels and some noticeable symptoms like hair thinning and brittle nails. It’s good that you’re paying attention to these changes.
Explanation:
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Elevated Iron Levels: High serum iron can signal several things, including potential iron overload disorders like hemochromatosis, liver issues, or could be a result of the foods or supplements consumed. Since you identified that your iron levels are high and that you are on a vegan diet, you're correct in thinking further evaluation may be necessary. High iron levels warrant attention, especially to rule out underlying conditions.
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Symptoms: The hair thinning and brittle nails can stem from multiple aspects, including nutrient deficiencies (e.g., iron, protein, or vitamins), stress, or hormonal changes, especially after stopping hormonal birth control.
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Menstrual Health: Stopping birth control could lead to changes in your menstrual cycle and how your body reacts to it. It's critical to monitor these changes as they can impact your overall health.
Next Steps:
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Monitor Symptoms: Keep track of any further changes in your hair, nails, or overall health. Note any other symptoms like fatigue, shortness of breath, or changes in mood.
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Diet Considerations:
- Maintain a balanced diet rich in vitamins and minerals. Even on a vegan diet, focus on incorporating foods that support hair health, such as nuts, seeds, leafy greens, and legumes.
- Counterbalance any potential iron overload by avoiding high-iron foods or supplements until clearer guidance is established. Consider incorporating foods rich in vitamin C to aid in iron management.
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Hydrate and Rest: Ensure you are well-hydrated and getting enough rest. Stress can exacerbate many health issues, so practices such as meditation or gentle exercise (keeping your POTS condition in mind) might help.
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Seek Medical Advice: While it's okay to wait until the weekend is over, prioritize making an appointment with your healthcare provider as soon as you can. You'll want to discuss your elevated iron levels, your dietary habits, menstrual changes, and all symptoms in detail.
By taking these steps, you're already doing a lot to understand your health better. Remember, your concerns are valid, and it's great to seek clarity and support. Let me know if you have any other questions or need further clarification!
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