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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Iron Deficiency:anemia, Feeling Fatigued After Stopping Iron Medication, Vit D Deficiency, Heart Arrhythmia, Diltiazem

I have been diagnosed with Iron Deficiency Anemia . I had colonoscopy and upper Gi and everything was ok. I am 63 years so not menustrating. I was taking Iron supplements and being tested monthly and my Iron level was improved and normal. I quit taking the Iron and I have been feeling fatigued and also not thinking properly. I originally was diagnosed with Vit D deificiency and was having heart rythmia and went on Diltiazem . Are these related and should I go back on the Iron or go have a blood test . It has been 6 months since tested as I was normal finally and quit taking Vit about 6 weeks ago.
Sun, 27 May 2012
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Dietitian & Nutritionist 's  Response
Hi, welcome to HCM.

Iron deficiency anaemia can be corrected in the longer run with proper diet. However if the deficiency is too high, one might have to also take a supplement. With regards to diet, you need to increase the intake of green leafy vegetables, meat, overnight soaked grains, increase fruits rich is vit c since they increase the absorption of iron. substitute sugar with jaggery. Avoid drinking coffee or tea immeadiately after a meal as this inhibits the absorption of the dietary iron. Since you also mentioned Vit D deficiency, it is important for you to be exposed to morning sunlight for a min 10-15 mins everyday and also increase calcium intake through milk based products as calcium and vit D work together and increases their absorption.

Good Luck!!!
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Oncologist, Surgical Dr. Mohammed Ibrahim M's  Response
Hi

Iron deficiency anemia along with Vitamin D deficiency may be because of malnutrition or due enzyme deficiency. It may even occur in renal diseases.You can recheck your Hb and Iron levels along with calcium. Depending upon your present status you can supplement the deficient nutrient. You can continue diltiazem for your cardiac problem


Dr. Mohammed Ibrahim
Surgical Oncologist
mdibrahimdr@yahoo.co.in
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Iron Deficiency:anemia, Feeling Fatigued After Stopping Iron Medication, Vit D Deficiency, Heart Arrhythmia, Diltiazem

Hi, welcome to HCM. Iron deficiency anaemia can be corrected in the longer run with proper diet. However if the deficiency is too high, one might have to also take a supplement. With regards to diet, you need to increase the intake of green leafy vegetables, meat, overnight soaked grains, increase fruits rich is vit c since they increase the absorption of iron. substitute sugar with jaggery. Avoid drinking coffee or tea immeadiately after a meal as this inhibits the absorption of the dietary iron. Since you also mentioned Vit D deficiency, it is important for you to be exposed to morning sunlight for a min 10-15 mins everyday and also increase calcium intake through milk based products as calcium and vit D work together and increases their absorption. Good Luck!!!