Iron deficiency without anemia vs. Iron deficiency with anemia

What is the difference between iron deficiency and iron deficiency anemia?
Iron deficiency is when you do not have enough iron. This is best demonstrated via a blood ferritin test.
Ferritin is the storage depot for iron. A ferritin below 30 is generally considered iron deficiency. Most people will feel their best with a ferritin above 70.
What is anemia?
Anemia is caused by a lack of hemoglobin. You will find this on a blood test called a CBC or Complete Blood Count. Hemoglobin is crucial for health as it is a protein charged with transporting oxygen to cells and removing carbon dioxide from the body.
Anemia is the symptom of iron deficiency, iron deficiency is the actual disease.
Let's accumulate health through optimized iron levels.
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00:00 Iron deficiency
01:16 Iron deficiency anemia
02:43 Ferritin blood test
04:07 Sample patient lab tests
07:30 Symptoms vs lab markers
09:58 Cost of ferritin test
*The information, including but not limited to, text, graphics, images and other material contained in the video are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

[@DrWholeness]

➡ Get your guide to overcoming iron deficiency optimizeiron.com/guide/

[@MLHealthandLife]

Hi Dr Matt - first THANK YOU for this video and advocacy. I’m one of these gals, mid 30’s, athletic, long term SIBO, and I’m not joking when I say I lost 7 years of my life and my body is still adjusting. I saw probably 20ish providers in this 7 year period, everything from MD, to ND, Functional, Rheum, Endo and GI. My symptoms were weakness episodes, trouble breathing, anxiety, panic attacks, fatigue, massive hair loss, lower leg pain. I was a MESS. Did 10/20 Drs pull a ferritin on their own, yes! Did I ask the others to pull it, yes! What I found was (is) getting them to pull the lab is the easy part, the hard part is education…providers DO NOT understand the importance and value of ferritin, other than “you’re in range of 9-150 all is good”. Iron def symptoms mirror those of anemia, literally the same symptoms, but providers are looking at hcg and hgb and if ferritin is 9, no concerns. OMG!!! At 7 years in (just 3 years ago) I went through ALL of my medical records, Iooked for a common “theme”. I then went to NIH and started researching ferritin. The last provider I saw before my own research began said “your ferritin is 26, it’s on the low end it might be contributing.” She’s the ONLY one who ever said anything about it potentially being too low. In reviewing all of my records, ferritin ranged from 19-45 and I was on my death bed. The UK is far more advanced in iron/ferritin research and infusions. On NIH I found an amazing research article which I’ve since passed around to providers (!) to HELP educate themselves on situations like mine! The research says 30 ferritin is iron deficient (I agree), 100 ferritin is optimal (I agree) - why? Because my hair falls out at 70, my hair and anxiety and other symptoms are SO MUCH better above 100 ferritin! Everyone is different, my main comment it to not get stuck on a number, 70 might work for one person, it doesn’t work for all. I found ONE ND clinic in Seattle who offered me iv iron to get my stores up asap (was 31 ferritin at the time). Helped a ton! I went from 160 back down to 70 quickly. I’ve since had 6 iv infusions and my body is doing better and adjusting after almost a decade of running on fumes. These provides aren’t liking me above 100 though, the education to all is still the biggest hurdle I’m dealing with. I can travel across the country to a provider HEM who will do 300 ferritin no problem as the body will use it or store it, but here in Seattle area, was a nightmare to find someone to do iv iron and understand 100 ferritin. I have long term SIBO, new research shows oral iron is NOT good for SIBO it exacerbates the condition. I’m a great candidate for iv iron, it’s not cheap, I with more NDs would offer it as oral iron does not work as fast or as well for some. I plan to share my story with the world at some point, many other pieces too, a side note, guess what went away with finally having adequate iron stores? My Hashimotos! Once my ferritin maintained 80+ for 6 months (no other changes) my thyroid chilled out and I’ve been off meds. Iron is so important for thyroid function, its like a teeter totter. Ok that’s all for now, appreciate your video to help education and spread the word. If you want the NIH article let me know, it’s gold

[@DrWholeness]

Thank you so much for sharing!

[@blaa459a]

Thankyou so much for this video 🙏

[@Jositoooo]

“CBC is run all the time but people can go years without their doctor checking their ferritin level.” I’ve been exhausted for 10+ years. Barely functional. Docs ordered several “full blood panels”, all came back normaI. I just started reading about iron, checked my records and found I’ve *never* had it checked. Went out and got a ferritin test. It was 4. You read that right: 4. Bittersweet. So grateful to have found a cause. Not happy that I suffered for 10+ years just to figure it out myself with a $12 test that I got in 5 minutes as a walk-in at a lab down the street. 😐

[@DrWholeness]

Strong work! Sorry it took so long. Www.bloodvitality.com

[@LK-bz9sk]

You lived this way for ten years . My God. That is a medical travesty. I have been feeling this way for a few weeks and chasing things down. My ferritin is low. I can't even imagine ten years of this. I hope you are improving now

[@sirsilentsandler]

I had the same mine is 5 and have been told for 15 years that it was anything but iron 😢

[@moiseslopez5672]

Are you a male? And what was the cause?

[@pawprinting]

@@DrWholeness What's insane is that my Iron is low (51) but my ferritin is high (277) What in the world does something like THAT mean?

[@angelwright9797]

So glad I found your blog and videos! I've had every experience from the first doctor I went to not wanting to run any blood tests, despite serious symptoms, to the last doctor running several tests and telling me everything looked fine. I recently paid out of pocket for anemia blood work so that I could avoid the trouble of seeing a doctor all together. I have low ferritin (10) while normal on everything else. The doctors I previously saw did not have my ferritin checked. Now, thanks to your content, I have a much better understanding of the whole situation. I ordered the Blood Vitality pills and hope to see an improvement to my quality of life.

[@DrWholeness]

Let’s us know how you do. 🙌🏼

[@samariaj.m.4401]

How are you feeling?

[@gracygrace.mp4]

Wow, this helped me so much. My hemoglobin is currently at a 12 and my ferritin is at an 8. This helped me so so so much. I am so tired but I do have hope. I do take iron supplements but keep feeling worse. My ferritin was at a 12 two years ago. I am considering adding more meat into my diet because I hear many good things about eating lots of meat. I will bring up your points to my doctor and see what the next steps are. I believe I will feel better! Thank you, Dr. Angove!

[@DrWholeness]

Check out www.optimizeiron.com if you need more support in getting your iron levels up.

[@Viktoriia]

Very informative. Thank you

[@DrWholeness]

You are welcome! 🙏

[@devonlashinski2870]

My hemoglobin is doing just fine but my ferritin is at 11.0. Just started Blood Vitality today! Can’t wait to feel like myself, it’s been too long! My symptoms have been extreme shortness of breath, fatigue, brain fog, irritable and anti social. Because of the brain fog I’ve been feeling really slow and am having trouble making decisions and thinking clearly, even talking is a chore for me. I’d much just rather keep to myself, all these things are not me and I’m excited that there is light at the end of the tunnel and that I stumbled across this guy! Thanks so much!

[@DrWholeness]

Let us know how it goes.

[@Skybluewindcool]

@DevonLashinski How are you now ? and what was your hemoglobin level ? Do u had dizziness, balance problems, heart palpitations, shortness of breath and anxiety? headache pressure type can't concentrate or focus filling irritated and anger and also difficulty and unpleasant filling while talking to someone😓 filling unreal, brainfog like not on myself sometimes like a drunked and sleepy....

[@Skybluewindcool]

@qazq oaoo Yes sad sad sad

[@Skybluewindcool]

@qazq oaoo Constant dizziness

[@missmanager]

@qazq oaoo yes I feel l.....same

[@rachellizzie889]

Hi. I love this video. Very informative. I started out having anemia years ago, but now I have iron deficiency without anemia for years so Ive been through both. Thank you for the information. I just found out my iron saturation and serum iron are very low again so I may need another iron infusion soon. What causes your iron to not go up without iron infusions? My iron saturation and serum iron doesnt even go up on iron pills or food rich in iron so Im just wondering if this is normal. My mom has the same issue maintaining iron stores.

[@barbarastentaford1009]

Thank you for this video, I was taken to hospital with chest and arm pain, breathlessness, light-headedness, nausea you name it and they said hemoglobin was fine but I knew to get my ferretin tested, blood work came back and I was told it was normal so I asked for the number and they said 17 which I now know isn't normal, 3 months on and I'm still bed bound with bad symptoms but I've just started iron tablets so I'm hoping they will help I'm just having a hard time believing the symptoms can be this bad without it being anemia, I honestly thought I was going to die

[@DrWholeness]

Wow. Let us know how you do. www.optimizeiron.com

[@mrsjuliebrown]

Great information in the video! I have had all the symptoms you describe in the video! I got blood work results back this morning and it appears I have iron deficiency without anemia! Hemoglobin is normal at 13.1, ferritin at 10.7, iron serum at 27, tibc at 442, uibc at 415, and saturation is 6%. Normal folate and vitamin D and B12. Hopefully my doctor will review the results this week and we can develop a treatment plan! Such a relief after years old being told "you are a tired mom in a hard season of life"

[@DrWholeness]

Get your ferritin over 70 is going to be a total life changer! 🙌🏼 www.optimizeiron.com

[@Skybluewindcool]

@JulieBrown how are you now dear plz update

[@Clarke1982]

Thanks for the video, super informative, I just ran an at home ferritin test and the result was 'normal' with the lower bar very faint but still showing. I have all the symptoms of iron deficiency and as an athletic person it is really effecting my lifestyle, not to mention work and social life. Is it possible the home test kit is wrong. Also, the range seems to be very broad, could an athletic person who is only just in the 30IU/ml range still experience symptoms? I am on a waiting list for test at doctors but that is another 3 weeks away. I should add my mother has been iron deficient for years. I'm not sure if it can run in families at all? Thanks again and best wishes from Scotland!

[@gadphin]

Thank you doctor!

[@DrWholeness]

you are welcome!

[@invigil3570]

You are by far the best explanation on Anemia and Iron deficiency I have found after 20 videos (at least) After fealing like I was about to pass out from barely moving around I went to get my lab test done independently since I don't like dealing with doctors. I got my results today and they are atrocious. Iron 20, Ferritin, 2 (yes two) hemoglobin 8.2. I will be ordering the Blood Vitality asap!

[@DrWholeness]

Oh wow! Can’t wait to hear your results. Www.bloodvitality.com

[@miketermaaten26]

I agree ..this was a Really Great video. thank you

[@peekaboo5496]

My ferritin level is at 23ng/ml and my doctor tells me everything is fine. In Germany the normal Ferritin levels are between 15 - 150. I have no trust in my docotor since a long time, but after this I really need to search for a new doc. I suffer from fatigue, depression, high heartrate (min 105/bpm), tinitus and I can't lose any weight. But when your are overweight and have depression , all of your symptoms are a result of this. 🙄 "You need to lose weight, then you'll feel better and your heartrate is high, because you are stressed. " I'm 39 and I feel like this since I'm 18....this can't be normal.

[@DrWholeness]

This is definitely normal. Look into going full on meat, fruit, some vegetables to help with weight, ferritin, depression. Sometimes doing a 6-8 week experiment full on is what the body needs.

[@peekaboo5496]

@@DrWholeness thanks for the response. I also have an appointment at a cardiologist tomorrow, to check if everything is okay with the heart. I also found out that my doctor only checked my TSH level the last 20 years and not for the other Thyroid levels. I have Hypothyreose. I have a lot of work to do now. 😬

[@stanleymhone5713]

Thank you very much doctor for the informative and amazing video. Everything you said describes me in a nutshell: fatigue, lethargy, chest pain, underperformer, physically weak in every sense of the word! God bless. Bottom line, I now understand better what is actually wrong in my case.

[@DrWholeness]

Awesome! 🙌🏼

[@shwe7211]

Hi Dr Matt, I have thalassemia anemia since very long time. Do you suggest which kind of iron supplements? Thank you.

[@DrWholeness]

Check out www.bloodvitality.com

[@ireneswan1050]

This describes my condition for last few years. I HAD TO REQUEST AN IRON BLOOD TEST TO GET INFUSIONS TO CORRECT PROBLEM.

[@armyvet1997]

I was recently diagnosed with Iron Deficiency Anemia. I was told to take a 325 mg iron supplement. I’m trying to find a good iron supplement. I find that all have flow agents and fillers, or is there a liquid supplement that’s good. Do you have any suggestions?

[@blaa459a]

Hi what about low %transferrin saturation everything else normal and got all anemic symptoms

[@margehinkle8346]

Thank you for this video. The Blood Vitality did increase my ferritin. I’m just wondering what you can tell me about macrocytic anemia.

[@DrWholeness]

B12, folate, thiamine, sleep apnea, hypothyroidism are the common issues.

[@saschagordon8325]

How long does it take to raise ferritin levels? If someone is at, say, 22… how long could it take to raise up to 40 if they’re taking 65 active iron/day (or 325 mg Ferrous sulfate). Thank you for this video!!!👍🏼👍🏼👍🏼👍🏼👍🏼

[@bobGmitter]

This happened to me. I paid for a vitamin B test and luckily it included ferritin. My ferritin was 25ug/ml. Taking Heme iron with a little copper and doing better after only 3 weeks. I was taking too much Zinc which blocked iron and copper.

[@bobGmitter]

God was looking out for me.

[@AZVR21305]

My iron tests all showed within the normal range except iron absorption. On my cbc I had slightly low wbc. I’m not understanding how my iron saturation could be low when the others are fine.

[@leekflower1]

What level is too high for ferritin?

[@whiteflower4014]

Hi doctor 👋 I done test yesterday hemoglobin 11.7 MCV 88 himatocrite 34.8 I live in Iraq female what type of animia I have please?????

[@travissingh6090]

Hey doc... i was told that my hemoglobin levels are slightly elevated due smoking... it's 17.2hg... my question is can i have elevated hemoglobin & have low iron levels? I don't know my ferritin levels...also can i have elevated hemoglobin with low blood pressure? Thanks in advance...

[@drax713]

Sir iam suffering with excessive hair shedding. My healthy hairls also lossing, my vitamin d 24.90,my tsh level 1.09 Hemoglobin 13 but mcv 67.7f/l Mch 20.3pg My hair fall start before 6 months. Hair lossing whole scalp I take vitamin and biotin medicines but no use🙂

[@muhammadhasham9976]

i wonder what my ferritin low is if i have hemoglobin of 6.5 start having thing hair also side hair became wire like with pimple had iron supplements after that been almost a month hair looks healthy but middle part still thin wonder how long until i am no longer iron deficit and ferritin lows are good

[@lindapestridge3073]

Watched Lot's of video's On iron deficiency This is the best one by miles.

[@DrWholeness]

Thank you! check out www.optimizeiron.com

[@lindapestridge3073]

@@DrWholeness i will do so right now , thank you for your reply.

[@blaa459a]

Totally agree

[@user-yl4rh8vn8c]

I was told it was all in my head like everything else. It wasn’t. I have a bunch of stuff nobody looked for.

[@audreyhepburn8633]

I don’t understand.. my ferritin went from 24 to 14 in 2,5 months although I have been taking iron bisglycinate the whole time. My ferritin was 46, 2 years ago and has been decreasing .. My hemoglobin is 13.9. What’s causing it ? Parasites ? Malabsorption? Thank you Sir !

[@amypenszynski7858]

Can I take this with good results/absorption if I've been healing from SIBO (doing a lot better overall) and have the MTHFR gene deficiency? I have B Thalassemia anemia and take methylated supplements like methylfolate....but also have low iron now! I think it has to do with..maybe..not having much nutrition for quite a while while trying to heal the SIBO. Thank you!

[@DrWholeness]

See email.

[@beginnerssamayal8319]

Sir I have my HB level is 13and serum iron is 124but ferritin is 22ng/ml what to do sir to increase ferritin level

[@sugabay]

My ferritin is 27 , and my iron is 45

[@sheainfinitypaints9533]

I have cronic low ferritin. I need by monthy infusions for the rest of my life. I wish there was a better way. Mine went undiagnosed for more than a year. My heart rate got so high during that time that now my heart is permanently damaged. Eje tion fraction of 40% with cardiomyopathy.

[@joyandrews3804]

My ferritin is 38 but my haemoglobin is 9.8. I’m anemic even though my ferritin is above 30.

[@heavenorhell8782]

Hello dr. MATT do you recommand ferrous sulphate to increase ferritin level? And what is the optimal ferritin level for woman to achieve? Thanks!

[@DrWholeness]

I have used Blood Vitality exclusively for the last 5 years. Most efficient, side effect free iron supplements have used with patients. drwholeness.myshopify.com/products/blood-vitality-1

[@thisbibliophagist]

My hemoglobin is just barely above the low range at 12.0 but my MCHC was low & my RDW SD was high so was told to get iron panel done. My iron is 20, ferritin is 14 & % saturation is 8. Explains a few things. 😅

[@DrWholeness]

Yes that explains a lot. So much health opportunity waiting for you. Www.optimizeiron.com

[@arsenaldream2156]

Thank you so much I just have a question in regard of Ferritin reference range show vey huge gap for example between 15 to 200 So if for example ferritin came 20 or 25 or even 30 should that considered normal

[@DrWholeness]

Generally, there is some bone marrow red blood cell production suppression when ferritin goes below 30. I aim for 70-120.

[@kjo9982]

Finally got my ferritin checked, 6ug/L. So glad to have a reason why I feel like garbage!

[@DrWholeness]

Wow. Yes, get ready to experience life at a whole other level! www.optimizeiron.com

[@janicemendoza376]

Hi! Any updates on your health? How are you now? Thanks!

[@kjo9982]

I do feel better I think! But my numbers are still super low, in the 20’s even with taking iron nightly.

[@matthewbushey5103]

Can you have low iron with normal ferritin levels? Ferritin 123 (range 30-500), iron saturation 0.30, iron 14 (8-35),total iron binding capacity 46…

[@connyginter-healthcoach]

My hemoglobin is 13.2, my iron 98, and my ferritine is 50 I have been struggling with my energy all day, especially in the morinigs. Sometimes tight chest, low blood pressure and light headed. Even naturopathic doctors said everything looks ok in the bunch of blood test but I can't work becasue of low energy ;-(

[@paragpatil7670]

Hello sir my ferritin is 32 ngml is it deficiency?? please reply

[@katiewhitney8499]

I had my regular doctor order all the tests my naturopathic doctor wanted including ferritin. My ferritin was 20 with tons of symptoms. They said everything was good. Definitely switched my regular doctor. This last time it was checked it got up to 34 doing better but still get symptoms. Can't wait to get it over 70 but it's definitely a long road and my body hates iron pills all kinds can only take them every other day.

[@DrWholeness]

You may want to try Blood Vitality to make iron easier on your body. amzn.to/3MUv4Oa

[@katiewhitney8499]

@@DrWholeness Sorry I have one more question. Can muscle twitching especially in the legs be due to iron?

[@DrWholeness]

@@katiewhitney8499 for sure.

[@chriswalton1523]

Thank you my ferratin dropped to 2.6 whilst Hgb was 80. So medics at hospital refused a transfusion or infusion because I ‘wasn’t anaemic’ I sat and cried until they listened to me that I was exhausted and needed iron. Now I’ve been diagnosed as IDA and undergoing tests t eee why I’m not storing iron.

[@christineharmon4496]

I can totally relate to this. I’m about to take tests as well for not storing iron. Did you get any info on why you weren’t storing it ?

[@ciaralopez8867]

Here because my hemoglobin is normal but ferritin is 6! Currently pregnant and brought up feeling anemic but was told I’m fine. I only found the ferritin because my husbands insurance makes us do extensive blood work. 🤯

[@DrWholeness]

Yes, my wife's hemoglobin was normal and ferritin at 9 after a month on Blood Vitality it came up to 23 and she felt night and day better. www.optimizeiron.com

[@strivingsoulforjannah]

My ferritin level is 19 but have normal hemoglobin

[@allardwijma7233]

Great explanation, thank you! I was wondering, why do patients with ID (but not IDA) suffer from symptoms like fatigue when their hemoglobin level is still normal?

[@DrWholeness]

Thanks for watching.

[@veekay9977]

@@DrWholeness you didnt answer him?

[@DrWholeness]

@@veekay9977 Thanks for following up..I will make another video about this, but the short answer is that iron has many roles in the body beyond oxygen transfer (it's role on red blood cells) and iron deficiency anemia is the defined disease state whereas iron deficiency is the precursor state. Similar to pre-diabetes.

[@veekay9977]

@@DrWholeness 👍

[@stevenbonarrigo9758]

No time frames mentioned…

[@samkhan1746]

What's the best form of easily absorbed iron when you have low ferritin levels like 11 in my case and also suffer from gastritis? Please mention the dose as well. Thank you.

[@DrWholeness]

Hydrolyzed whole protein iron chelate like in Blood Vitality www.optimizeiron.com

[@mariado3690]

My ferritin is around 10 last few years, iron is 7. Haemoglobin is normal stabile whole life. I never measured ferritin or iron before marker 9. Note these are possible whole life since childhood. What my markers mean and what symptoms should I have? Also note - diazepam test - it worked positive - means my symptoms are not due to iron because diazepam cured all my symptoms instantly for some time? Why diazepam cured all my problems 'low iron' then if it is iron to blame?

[@Sanaiya14]

My hemoglobin was 11.8 but iron was 22, saturation was 6 and ferritinin was at 4 in Feb.. idk what my numbers are right now since i lost my insurance soon after that but recently I have been feeling dizzy, lightheadedness and rapid heartbeats... I need to lie down for at least half an hour to 1 to feel somewhat normal

[@leekflower1]

Interesting you mentioned out of breath. I've been having that despite similar activity level like I feel like my body can do the activity strength wise but I can't catch my breath when I try to increase intensity. I also remember being out of breath excessively during a pregnancy last year that ended in miscarriage. I don't remember being out of breath in early pregnancy with previous ones. I wonder if my low ferritin levels contributed to my miscarriage. 😔 Seems like such an easy thing to check.

[@DrWholeness]

Check out www.optimizeiron.com for help. Definitely check your ferritin.

[@leekflower1]

@@DrWholeness I did. It was 19. I started supplementing this week.

[@DrWholeness]

@@leekflower1 All the best, let us know how you do.

[@user-kp9qf6tk6h]

Right

[@aliceeeew8052]

Hi! My ferritin is 13,3 and my folate level is 2,9 and the inferior limit is 4,6. So I have both problems. Do you know what dose of folate should I take? Are 5 mg per day ok?

[@DrWholeness]

You might want to try out this active folate formula. drwholeness.myshopify.com/collections/nutritional-supplements/products/methyl-b12-5-mthf

[@Crystal_G_1989]

What about abdomen problem and cant sleep well. After taking iron for a week my problem disappear and also the chest pain and fatigue feel like Im young again.. Should I stop now from taking iron supplement?

[@DrWholeness]

Wow that is great to hear

[@tiffanya4275]

My platelets have been trending up last couple years but my hemoglobin is normal at 12.6. Hair is shedding like crazy. Was wondering if platelet elevation may be due to low iron and or ferritin. Some searches I found said low iron and platelets have an inverse correlation. Have you seen platelets normalize once iron is corrected?

[@DrWholeness]

Often platelets go up with low iron and normalize with iron repletion.

[@DrWholeness]

www.bloodvitality.com

[@universe3654]

Hi Dr Matt I took blood test last week and the below are my results Iron 52 Transferrin 286 TIBC 258 %saturation 15% Haemoglobin 11.9 Ferritin 63 B12 892 I have severe hair fall since 6 years . Not sure why I am facing it I am 33 year old female . Pls help me I want to live my life with my family getting g away from hair fall . Will having your blood vitality supplement help me with me problem . Also will my b12 increase of I have your supplement . Please respond

[@bobGmitter]

I read that ferritin must be above 70ng/ml for hair to stop falling out

[@03nursing]

Yessss! I run ferritin and iron on all my fatigued patients. I put them on 6 weeks two times daily, then if it’s up, I take them down to one pill three times weekly.

[@DrWholeness]

Great to hear 👍🏻👍🏻👍🏻

[@DrWholeness]

Also, if any of your patients have side effects from the iron, you may want to suggest trying Blood Vitality amzn.to/3LizFYV

[@beautyroses8771]

Oh my goodness! My ferritin is 22, and my hemoglobin is also 11! The Dr is saying that I may have Alpha Thessalin (something like that). Can you tell me more about what your patient did please? Thank you!

[@DrWholeness]

Check out Www.optimizeiron.com

[@prettyme7919]

Blood vitality is not available in India so what can we take

[@sarahd.5579]

What do you recommend for patients who have persistent iron deficiency anemia and who do not respond to iron supplements and lifestyle changes? At what point do you search for the cause, and what specialists do you refer to?

[@DrWholeness]

Always search for the cause. Finding a naturopathic physician in your area and working with them would be high value.

[@Lifesepanga]

Sir Is it possible that little low like 11.2 hemoglobin but high ferrtin or iron level ?

[@DrWholeness]

Check for other inflammatory causes or B12/folate deficiency

[@sabrinaelizabethszoldan804]

My ferratin is 12, my hemoglobin is low, my RBC are low. I've been this way my entire adult life and I"m 40. Iron supplements have always upset my stomach. It's starting to catch up with me though. I feel like I'm walking through quicksand and I have a 3, 12, and 15 year old I'm homeschooling. Friggen spent and no one understands it. I get winded going up stairs and I have no breathing issues and I'm a healthy weight. I'd love suggestions for OTC supplements. Right now doing gentle iron and vitamin C, avoiding grains (just started keto two weeks and that is helping my energy some), and I have noticed my hair is thinning but not falling out, so anxious. I want to work out. I want to keep up with my kids.

[@DrWholeness]

Wow. Ya you need your body full throttle for homeschooling. My wife homeschool 5 of our kiddos right now. It is the best but also a ton of life energy. Have you looked at www.bloodvitality.com ? This is what I have seen to be most effective in my family and with my patients.

[@sugabay]

This is off topic a bit, but do low ferritin cause igg4 subclass deficiency?

[@DrWholeness]

Compared with age-matched healthy children, the mean concentration of serum IgG4 and IgG1, and PnPs specific IgG1, IgG2 antibodies were decreased in children with iron deficiency. Decreased CD4+ cells and CD4+/CD8+ ratio in peripheral blood, low interleukin-6 (IL-6) activity, reduced lymphocyte proliferative responsiveness and increased recurrent respiratory tract infections (RRTI) were found in iron deficiency children.

[@sugabay]

@@DrWholeness oh wow makes sense, my iron is low , and my iron binding is good but my iron levels is hard to get up I'm deficiency in iron

[@LR-gc2xu]

Okay. My iron and ferritin levels raised significantly after 2 infusions. My hemoglobin has only been raising .1 or .2 so I started at 7.3, 8.3 now 8.8. What does that mean? I had the infusions last week will my hemo continue to rise?

[@DrWholeness]

Hemoglobin is looking at your red blood cells, so you will need to wait until iron is incorporated into your red blood cells to see it raise, which is not instant. For more help check www.optimizeiron.com

[@sherriscorner2015]

What about normal hemoglobin, low MCH and MCHC. Also, High Total Ironing Binding Capacity and Transferrin

[@DrWholeness]

Ferritin? Sounds like low iron. Www.optimizeiron.com

[@1aliveandwell]

Where is the ferritin that price??? I have run labs thru Life extension and Ultalabs (ck their slaes...) and are some more but better than Dr if insurance doesnt approve!!

[@TANNYRAW]

My ferritin is 5. I have had no luck with iron supplements. I have startled taking the blood vitality. How many would you recommend a day? Thank you for considering my question :).

[@DrWholeness]

At a ferritin of 5 we generally start with 2 taken at the same time each day.

[@TANNYRAW]

@@DrWholeness oh thank you so much. Does that mean the two are taken together as one does? Or does that mean one in the morning and perhaps one later in the day but having the same schedule each day?

[@DrWholeness]

@@TANNYRAW it is best to take all your iron at the same time. Preferably in the morning.

[@TANNYRAW]

@@DrWholeness ok I will do that THANK TOU so much!!

[@organicfamilylife]

@@TANNYRAW how are you feeling? My ferritin is a 4.

[@anaciccone5858]

Which iron do you recommend? My hematocrit is low, hb borderline normal but ferritin is 3 😭

[@DrWholeness]

Check www.optimizeiron.com

[@sunandavemula136]

Hi sir, your explanation is very good, I have one doubt, one person suffered with iron deficiency without anemia , his iron levels are 45, one doctor suggested ferritin injection to him, he did it, but iron levels are not increases, when he tested serum iron shows result 42. Please kindly give one suggestion how to treat . Iron dificuency

[@DrWholeness]

www.optimizeiron.com can help

[@guyrock5855]

Most patient with ID also have hypothyroidism, thyroid function uses iron and if you are low on iron both functions tank and it becomes a vicious cycle.

[@DrWholeness]

Yes, the thyroid and iron are very closely connected.

[@ramyarmishra1011]

@@DrWholeness How ??

[@thegamejunkie1]

I have secondary polycythemia, my ferritin and iron are both below 20. My Hem doctor wants them to stay there and doesn’t want me to take and iron supplement …. Can you explain why? Thank you

[@DrWholeness]

Great question! I’m not sure why that would be unless you have a cancer that is highly Iron responsive.

[@srishtisharmxa]

Hello, I'm facing issues with shortness of breath, dark circle under eyes. I take proper 8hrs sleep n hydrated. Do you think that dark circle are caused by Iron deficiency?

[@DrWholeness]

Definitely would get your levels checked. Www.optimizeiron.com

[@janmartell9792]

Blood Vitality would cost me about $90 a month! That is too expensive.

[@davidryan4948]

My ferritin was 4, normal hemoglobin. Felt fine but a little short of breath when exercising

[@Skybluewindcool]

Balance problem dizziness ?

[@abolisohoni]

My Ferritin is 9 and hemoglobin is 10.7 and Iron is 25. Which iron medicine I should buy and what should I look for in the tablet? Please suggest food as well. I am vegetarian. Thanks a lot 🙏

[@DrWholeness]

This is my go to and vegetarian. drwholeness.myshopify.com/products/blood-vitality-1

[@lepetitmaison888]

In july 2021 i my ferritin level was 4 then asked me to take iron for 3 months i went back to the dr for followup then it went up to 23. After 3 months i went for lab test again abd my ferritin is 10 . Does it really drop that fast if i stopped taking iron supplemnt? My hemoglobin is normal everytime

[@DrWholeness]

Yes, especially if you are menstruating. Have you tried Blood Vitality? amzn.to/3LizFYV

[@billytheweasel]

With my wife's breast cancer I've read that Transferrinn Saturation

[@DrWholeness]

Sounds like she is in a good spot.

[@kala9907]

Where do we go for these inexpensive test?

[@DrWholeness]

Evexia diagnostics or ulta labs

[@anca7006]

Hi, are random bruises on thighs also a symptom of iron deficiency? Or iron-deficiency amenia?

[@DrWholeness]

Yes, both.

[@cherrynicole4511]

I've been feeling really down for the last 10+ years, had some labs done and my ferritin is 8.7 😳 Dr.'s notes said iron deficiency without anemia...even found out I have food allergies among other things! I can't wait to change up my lifestyle and feel better. Thank you for the video!

[@DrWholeness]

Awesome! Getting your ferritin up will be a total game changer. www.optimizeiron.com

[@JimmyKay1976]

Is it possible to raise iron and ferritin without raising RBC and hemoglobin? Thanks!

[@DrWholeness]

For sure. www.optimizeiron.com

[@JimmyKay1976]

@@DrWholeness I can't seem to download the literature. Can I simply order the supplement? Again, I need to raise iron and ferritin with affecting hemoglobin and RBS

[@DrWholeness]

@@JimmyKay1976 drwholeness.myshopify.com/collections/nutritional-supplements/products/blood-vitality-1

[@Aesthetic_leen]

I'm having chest pains and nerve pain since 2 months. I was absolutely fine and when one day started having chest pain... It scares me a lot... I have done my ECG echocardiogram endoscopy and what not... Doctor said my heart was fine.... All the doctors are saying that I have in society and anxiety is causing me e these weird pains all over my body and specially my chest pain.. somewhat I was not ready to believe them... I I'm having extremely dry lips... It's sometimes even bleed when the skin comes off, kind of dry skin. And people tell me that I looked very unwell... I got my vitamin test done.... And my vitamin d level is 12.... Dr never asked me for a bit test but can my chest pain and other pain all around my body and specially my wrist and my feet can be a sign of vitamin d deficiency... Can vitamin d deficiency at a level of 12 be so severe Also I have had breathing issues now a days... Strange tightness in the body. ... Lump in the throat feeling... And upset stomach... And I'm also having lump in the throat feeling.. can dis be due to vit d or calcium deficiency or iron or potassium bdeficiency? I have done my B12 test also which are normal.... Last month I had my ovarian cyst surgery for which my CBC was done but it was also normal... For now I have sent my samples for iron testing

[@DrWholeness]

www.optimizeiron.com also definitely want to get those vitamin D levels into optimal range. drwholeness.myshopify.com/collections/nutritional-supplements/products/vitamin-d3-k2-liquid

[@ginnyadamo1477]

What if my hemoglobin is not only normal but slightly high? Ferritin is 8, iron saturation is 9, hemoglobin was 17

[@DrWholeness]

Iron deficiency. Something else is effecting your hemoglobin. It would be good to look more into it. Www.optimizeiron.com

[@shivayoom9128]

Normal hemoglobin but low ferritin. In this case no pale skin, no white or pale eyes, no brittle nails. Look like normal except depressed n weight loss but dying inside with invisible symptomos to others. Is this possible ??? Plz tell 🙏🏻

[@DrWholeness]

For sure.

[@telugodu5]

Hi my Hemoglobin is 12.8 and Iron saturation is only 12. My doctor did not order Ferritin. I' m 43 yr old male. Rest all in blood panel shows normal. Am I anemic?

[@bobGmitter]

Probably not but could be iron deficient

[@urielwong]

Can donating blood too often cause iron deficiency or low ferritin? Thank you, great discussion!

[@DrWholeness]

Yes. See it all the time.

[@urielwong]

@@DrWholeness Thank you!

[@payperview714]

massively..I learned this the hard way..Never had Iron + TBC test or Ferritin and when i checked Iron was ok but Ferritin was as low as 10.

[@urielwong]

@@payperview714 Thank you for your reply! Same thing happened here.

[@DrWholeness]

@@payperview714 check out www.optimizeiron.com

[@LizTan-qg9xd]

Greetings.. My ferretin is 4 , Hemoglobin is 10, and I have hyperthyroidism.. are all connected? My Dr not even recommend to take iron supplements... How's that ?

[@oceana3070]

I am 8mo pregnant and been told I have low iron (4), but normal haemoglobin, so the hospital won’t give me an infusion. What can I do? I’m feeling more exhausted every day (and not with pregnancy but with that tired anemic feeling)

[@DrWholeness]

This is what my wife used when she was iron deficient in her pregnancies: drwholeness.myshopify.com/collections/nutritional-supplements/products/blood-vitality-1

[@joyoflearning2124]

My hb is always stuck at 11.5 (female). Ferritin is 80, serum iron is low (55), percent saturation is low (18%). Even after eating healthy and having iron. How to increase my hb and all others which are low. Serum iron being low with normal ferritin - what does it indicate ?

[@DrWholeness]

You likely have a higher ferritin normal than most. Also, consider copper, zinc, folate, thiamine, B12 these could all play a role beyond just iron for your HGB. This is where Blood Vitality can really shine, in supporting the whole construct of red blood cell production. Www.optimizeiron.com

[@AngelaJones2433]

I totally want to cry my eyeballs out!!! I’ve had heart palpitations going on 2 years and my doctor did my blood work in 2021 and my ferritin was 13 and my saturation was 9% with iron at 32…. Hgb normal. Just went back a month ago for more lab work still having horrible symptoms anxiety out the wazoo, heart palpitations, light headed and terrible brittle nails and hair looks frazzled and I believe my personality has changed to so drab!!! Miracle I’ve come across this. 3 days ago I decided to research things myself and have started iron 3 times a day. Today is my third day. I’m praying this works!!!! I have had heart monitor and echo all checked out.

[@jenana7515]

My ferritin is always minus. Last test was minus 6.. haemoglobin is also under.. I go for iron infusions or sometimes blood transfusion every 2-3 months

[@DrWholeness]

Do you know what is causing the blood loss or lack of blood formation? Check www.optimizeiroin.com

[@edimoelvis9904]

Why not start eating liver?

[@ashlynpurvis5371]

my blood ferritin is a 4 still waiting for my doctor to tell me how to make it better 😭😭

[@DrWholeness]

Oh wow. Www.optimizeiron.com for ideas.

[@chedielmbwambo4385]

Im having high HB most of times >18 and high HCT > 50, but i was surprised to have Ferritin of 17. Im very weak, dizzy, not active, body, head, muscle pains, non specific illness. Please advice

[@DrWholeness]

Polycythemia? You can have iron deficiency without anemia. I see this often as your ferritin suggests, though you may want to get TIBC, iron saturation, serum iron levels checked.

[@chedielmbwambo4385]

@@DrWholeness Yes, I have Polycythemia. Is It Ok for me to use Iron supplement? Cant it elevate further HB nad HCT? Or what else can I do? Of course I will request those Iron tests you recommended. Thank you in Advance Dr. Matt

[@chedielmbwambo4385]

@@DrWholeness 17 is my recent serum Iron Level. I thought it is the same as ferritin test. They wrote in the report Iron (Serum, Ferronzine) .... 17

[@ewall1804]

My ferritin has been low for many years and still dropping, nothing i do changes it. What can I do?

[@DrWholeness]

www.optimizeiron.com will help!

[@tlc8925]

I'm a little irritated because I've been overdosing on B 12 for years and was still dog tired, weak &cold. I wonder what my doctor was looking at all this time.I was finally told I'm iron deficient recently which surprised me because why now? Don't know about my hemoglobin. I've been taking 2 doses of 325 mg ferrous sulfate for 3 days &already I feel cured😳.. No side effects. I used to nap for hours &still be tired but yesterday I didn't nap at all &could hardly sleep last night. Not sure that's a good thing but so far I feel like a different person... Almost too alert. Maybe I don't need as much iron.

[@DrWholeness]

Good to try and figure out why you were deficient.

[@Jim-oc3sp]

My ferritin is only 23, my hemoglobin is 4.9, iron is 94 with a binding capacity of 377 and iron saturation of 25. My doctor told me im too low on Ferritin and put me on 325 Ferrous Sulf twice/day to bring levels up closer to 50-60. How long should that expect to take? Hair falling out rapidly.

[@DrWholeness]

Are you sure your hemoglobin is 4.9? Check out www.optimizeiron.com for all the efficient iron details.

[@Jim-oc3sp]

@@DrWholeness yes, the Hemo A1C was 4.9. The hemoglobin hgb was 13.8

[@nicoc7024]

Any ideas what a ferrtin of 25 and transferrin saturation of 52 would mean? Total iron 165, and I am on testosterone replacement therapy which I know can increase rbc and iron use, but not sure if I need to do anything for his situation.

[@guyrock5855]

At 25 you have absolute iron deficiency without being anaemic. With tRt doctors ask you to donate blood to keep your rbcs low which can tank your ferritin(iron savings/stores). It feels like death if you get there. Start taking iron supplements.

[@sae6969]

@@guyrock5855 same problem i got 17 haemoglobin and high rbc but low ferritin ...can i donate blood and start iron supplements

[@k1ll3r67]

@@sae6969 how are you doing now? were you taking iron supplements in these past months? or donated blood? i do have the same thing like yours 16.5 haemoglobin but low ferritin 19 .

[@sae6969]

@@k1ll3r67 doctor said don't take iron supplements ....yeah i donated blood ..it's still 16.7 haemoglobin ....i think it's stomach absorption issue more than ferritin ...so i stopped iron supplements

[@k1ll3r67]

@@sae6969 thanks for your quick reply man , btw could you answer few questions of mine would be really helpful as im in the same boat as yours. 1. what was your ferritin levels? 2. what was thr purpose behind blood donation? 3. what are your doing for the gut iron absorption thing?