Anemia of unkown origin

[Bananom]

I have microcytic anemia.
Hb at 11.6
Hkt at 36
MCH at 26


Iron is 155. Ferritin is 406.
Folic acid 9.4 ng/ml [3.9-26.9]
B12 at 297, currently doing injections with no success
Vitamin E at 1446 [500-2000 mcg/dl]
Vitamin A at 81.2 [30-70 mcg/dl]
Vitamin B1 93.2 [28-85mcg/dl]
Vitamin B6 8.3 [4.8-36.9 ng/ml]
Taking copper everyday 1:5 ratio to zinc.

What the hell am I missing??? Could the blood test be off? I am wondering this because the clinic forgot to test my blood, and I called to remind them after one week.
So my blood has been laying around for one week...

 

[aniciete]

Ferritin is 406?

 

[Bananom]

Ferritin is 406?

yes

 

[Pablo Cruise]

I have microcytic anemia.
Hb at 11.6
Hkt at 36
MCH at 26


Iron is 155. Ferritin is 406.
Folic acid 9.4 ng/ml [3.9-26.9]
B12 at 297, currently doing injections with no success
Vitamin E at 1446 [500-2000 mcg/dl]
Vitamin A at 81.2 [30-70 mcg/dl]
Vitamin B1 93.2 [28-85mcg/dl]
Vitamin B6 8.3 [4.8-36.9 ng/ml]
Taking copper everyday 1:5 ratio to zinc.

What the hell am I missing??? Could the blood test be off? I am wondering this because the clinic forgot to test my blood, and I called to remind them after one week.
So my blood has been laying around for one week...

yes

What medications are you on?

 

[youngsinatra]

Check serum copper, ceruloplasmin and serum or plasma zinc.

Having a total daily zinc intake (supplement + dietary sources) above 40 mg can cause copper deficiency, even if copper is taken in sufficient amounts because of zinc‘s strong inhibitory effects on oral copper absorption through the action of metallothionein.

I struggled with hyperzincemia/hypocupremia for most of 2022 and my copper only improved after resolving the high zinc level.

High iron can also cause copper deficiency. Your ferritin is very high.

 

[Bananom]

What medications are you on?

none

 

[Sergey]

What the hell am I missing???

Maybe biotin.

 

[Bananom]

Maybe biotin.

I take it already

 

[Sergey]

I take it already

Yeah, how much?

 

[Bananom]

Yeah, how much?

2,5 mg

 

[Sergey]

2,5 mg

Good dose. Did you stop biotin some time before doing all those tests? Biotin in high doses invalidates many blood tests results as far as I remember.

 

[Bananom]

Good dose. Did you stop biotin some time before doing all those tests? Biotin in high doses invalidates many blood tests results as far as I remember.

started after the tests actually, didnt take any before

 

[Sergey]

started after the tests actually, didnt take any before

So its recent. Then it might be a missing link and would just need time to do the work (fingers crossed). Biotin seems to be super important for heme synthesis and iron uptake.

 

[Andy316]

I struggled with hyperzincemia/hypocupremia for most of 2022 and my copper only improved after resolving the high zinc level.

Mate, how did you resolve this? I may have made myself copper deficient by regularly eating lots of foods high in zinc, manganese and fructose.