Iron Overload? Anemia?

I received a call from my surgeon's office yesterday and have been 'summoned' to meet with him because my labs came back all wonky.  I'm 2.5 years post RNY and have had great success with my surgery. The wonked out labs are as follows:

Unsaturated Iron Binding Capacity  - 144 (LOW)
Iron Serum - 211 (HIGH)
Iron Saturation - 59 (HIGH)
B12 - 1787 (HIGH)
Folate - >21.7
WBC - 3.4 (LOW)
RBC - 3.18 (LOW)
Hemoglobin - 10.3 (LOW)
Hematocrit - 30.9 (LOW)
Ferritin - 12

I have never taken iron supplements, but am religious about my multivitamin, calcium, B12, and folic acid.

Any ideas? I don't meet with my surgeon until the end of April.

 

OK, something is not right

How you can be anemic and high in iron at the same time?

Perhaps a mis-draw?

Ferritin of 12, Hct of 30 are hideous.

I cannot imagine how you got that iron

Your B12/folate are so lovely, the "health" shoulda drained over to your other numbers

Oh, it's for real. I have all my labs since surgery plugged into a spreadsheet and you can see the steady decline in ferritin and rise in iron serum and saturation. I had my labs reviewed by a clinician friend of mine and he also said he's seen it, but very rarely. Apparently hypothyroidism can cause issues with ferritin (despite the lovely B12 and folate numbers) and I've asked to have that test run as well.  He also sees a pattern in my liver enzymes, too.  We'll see what the meeting w/my surgeon brings at the end of the month.  Hopefully, we can figure out a way to get the ferritin back up so my body can use some of that iron that's just free-floating around! :)

Like you need to grab your pot of iron and pour a little into each of the other cups, huh?

Liver enzymes. Are you taking milk thistle?

No, I've pretty much just stuck to the basics. Prenatal multivitamin, calcium, b12, folic acid, and my trusty colace. :) 

I HATE PRENATALS

No vit D?

Prenatals have lots of iron, since they are for pregnant women.  I agree with Vitalady, it makes no sense.  How can one be so anemic and you are very anemic with so much iron.  I am actually the opposite.  I have normal hemoglobin, hemacrit, RBC and iron but a High Ferritin.

If I were you, you need to see a Hematologist that specializes in blood disorders.  This isnt' a case for a surgeon or PCP.  You need a specialist.

I also have a high ferritin it's sitting at 465 and has not moved for over a year what does it mean when it's hat high my gp and surgeon do not seem concerned over it