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/Re: Ferritin

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Hi :

Since right before I was diagnosed with CFS, I started to have issues

with my ferritin levels being very low. It is my understanding that

ferritin levels relate more to the body's iron stores. My Hct has also

tended to be low; being in the range of 32-35 (which as a female makes me

anemic). I have seen the diagnosis on my chart of " anemia of chronic

disease " . I guess I am wondering if a significant number of other PWCs

have low ferritin also and what would be the mechanism of " anemia of

chronic disease " . I am currently receiving IV iron therapy (INFED) to

build my iron stores back up. This has happened twice. The iron therapy

seems to help some when I have gotten it -but not as much as one would

expect. I have tried some other things (DHEA x 1 month, Trans-D-Tropin

for two months). So far, nothing has really seemed to have much effect on

me. It gets discouraging & expensive.

Teena

On Sun, 05 Feb 2006 10:23:46 -0500 " H. Wish "

<orchidwish@...> writes:

> My internist, who treats a lot of people with CFS, thinks our

> ferritin is usually too low for our good (regardless of the

> so-called

> reference ranges); perhaps this relates to the unhealthy mis-shapen

> red blood cells, impaired oxygen-carrying capability of red bloods,

> or actual lysis of red blood cells from one of the many pathogens we

>

> typically carry; or just the fact the supplemental oxygen seems to

> help. Anyway, she's had me taking extra iron in an effort to keep my

>

> ferritin (not hematocrit, I think) at 50-ish. I realized I ate a lot

>

> less red meat than perhaps when I was younger, and I am menopausal,

> so that would not account for the need for extra iron, but my

> initial

> ferritin test was on the low side, although I can't recall the

> absolute number.

>

> My problem, which continues to amaze me when people talk of things

> that make them feel better, is that -nothing- makes me feel better

> so

> far as I can tell. I just plateau for long periods. I occasionally

> get a little better as when my 'sinus' problem finally got a little

> better on Singulair which targets or reduces leukotrienes, since an

> ear-nose and throat guy, after yet another round of antibiotics, and

>

> a trial of a nasal antihistamine spray (which caused me to sneeze

> and

> my nose to run like a drippy faucet) did nothing for me and a CT

> scan

> shows my sinuses were alright after all and he concluded my

> 'turbinates' in my nose were red and swollen probably from an

> allergy

> (to what I can't tell - I've had it since August). I've recently

> been

> taking (in addition to my usual supplements) P5P, taurine,

> liposomal

> GSH, ATP Peak, TMG, molybdenum, SAMe; B-12 with B6 sublingual I've

> taken for a long time. Nothing makes the slightest difference that I

>

> can feel, whatever number I take of them or combination. I'm always

> interested in Rich's comments, but I think I may not be in the

> subset

> to which they apply. I've taken glucosamine sulfate 'forever' since

> I

> became sick to help with the joint pain, and it does alleviate it

> usually completely. I can also take MSM in any quantity and it

> doesn't make any difference that I can tell. I realize some of these

>

> things need time, but some people report feeling better, as with

> molybedenum, almost immediately. I just don't see it.

>

> >im intersted in knowing if anyone has tested for iron overload

> which can

> >encourage bacteria ?

> >

> >Reagrds

> >CS

> >

> >

> >all our patients are tested for serum iron, %saturation, ferratin

> and iron

> >binding None of these are consistantly abnormal in CFS

> >

> >Joy

> >Research assistant to Dr Enlander

> >_www.enlander.com_ (http://www.enlander.com/)

>

>

>

> This list is intended for patients to share personal experiences

> with each other, not to give medical advice. If you are interested

> in any treatment discussed here, please consult your doctor.

>

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Teena,

Have you (or your doctors!) ever thought of trying to find the CAUSE of your

ferritin being low, and getting low again after your iron stores have been

repleted?

My ferritin was extremely low (7-range 20-200).Taking iron if your ferritin is

low because of a chronic infection will only feed the bugs (the ones that thrive

on iron). The only mode of intervention that made it rise significantly

was...taking antibiotics, not iron. I rest my case.

Nelly

Re: /Re: Ferritin

Hi :

Since right before I was diagnosed with CFS, I started to have issues

with my ferritin levels being very low. It is my understanding that

ferritin levels relate more to the body's iron stores. My Hct has also

tended to be low; being in the range of 32-35 (which as a female makes me

anemic). I have seen the diagnosis on my chart of " anemia of chronic

disease " . I guess I am wondering if a significant number of other PWCs

have low ferritin also and what would be the mechanism of " anemia of

chronic disease " . I am currently receiving IV iron therapy (INFED) to

build my iron stores back up. This has happened twice. The iron therapy

seems to help some when I have gotten it -but not as much as one would

expect. I have tried some other things (DHEA x 1 month, Trans-D-Tropin

for two months). So far, nothing has really seemed to have much effect on

me. It gets discouraging & expensive.

Teena

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There is no doubt that iron security is a part of antibacterial

immunity. We keep almost all our iron complexed to other molecules,

but pathogenic bacteria are still able to acquire some of it by

releasing, then resorbing, iron-binding molecules of their own

(siderophores).

I have heard from an unreliable source that immunoactivation

(specifically, activated macrophages) can cause significant

sequesteration of ferritin out of circulation. Please note I

personally have no clue whether this is true. But pubmed should be

able to tell you.

I tend to agree with Nelly that persistent bacterial infection is the

likeliest cause for most CFS cases. Many CFSers are greatly helped by

antibacterial treatment, tho many are not. Personally, based on my

reading of anecdotes, I tend to suspect that a heavy combo regime

involving a nitroimidazole drug is far better than, for example, just

taking doxy. It seems to me that just taking doxy is rarely effective

at all, tho there are a lucky few.

>

> Teena,

>

> Have you (or your doctors!) ever thought of trying to find the

CAUSE of your ferritin being low, and getting low again after your

iron stores have been repleted?

>

> My ferritin was extremely low (7-range 20-200).Taking iron if your

ferritin is low because of a chronic infection will only feed the

bugs (the ones that thrive on iron). The only mode of intervention

that made it rise significantly was...taking antibiotics, not iron.

I rest my case.

>

> Nelly

> Re: /Re: Ferritin

>

>

> Hi :

>

> Since right before I was diagnosed with CFS, I started to have

issues

> with my ferritin levels being very low. It is my understanding

that

> ferritin levels relate more to the body's iron stores. My Hct has

also

> tended to be low; being in the range of 32-35 (which as a female

makes me

> anemic). I have seen the diagnosis on my chart of " anemia of

chronic

> disease " . I guess I am wondering if a significant number of other

PWCs

> have low ferritin also and what would be the mechanism of " anemia

of

> chronic disease " . I am currently receiving IV iron therapy

(INFED) to

> build my iron stores back up. This has happened twice. The iron

therapy

> seems to help some when I have gotten it -but not as much as one

would

> expect. I have tried some other things (DHEA x 1 month, Trans-D-

Tropin

> for two months). So far, nothing has really seemed to have much

effect on

> me. It gets discouraging & expensive.

>

> Teena

>

>

>

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Yes I would look into this. Ihad a ferretin of under 20 for years and no amount

of iron supplementation improved it but once I treated a major helicobacter

infection, which had been silent in me for years before it broke out into an

ulcer, my ferritin normalised. These bugs use up all your iron stores and

damage the intestines and stop you from absorbing it well aswell

Re: /Re: Ferritin

Hi :

Since right before I was diagnosed with CFS, I started to have issues

with my ferritin levels being very low. It is my understanding that

ferritin levels relate more to the body's iron stores. My Hct has also

tended to be low; being in the range of 32-35 (which as a female makes me

anemic). I have seen the diagnosis on my chart of " anemia of chronic

disease " . I guess I am wondering if a significant number of other PWCs

have low ferritin also and what would be the mechanism of " anemia of

chronic disease " . I am currently receiving IV iron therapy (INFED) to

build my iron stores back up. This has happened twice. The iron therapy

seems to help some when I have gotten it -but not as much as one would

expect. I have tried some other things (DHEA x 1 month, Trans-D-Tropin

for two months). So far, nothing has really seemed to have much effect on

me. It gets discouraging & expensive.

Teena

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