Question: First, I am wondering about the payment cost? I am a 60 yr old female with a chronic lumbar back pain as a result of floor nursing. I most recently have been taking in Nov. 2016, Hysingla 20 mg bid for 1 month and 2 tabs hydrocodone 10/325 for breakthru. Prior the this month, I was on hydrocodone 10/325 4 x per day. I failed my Nov drug test. I have failed 3 other test during the past 2 years. I am also severely anemic and do not absorb po iron tablets. I receive infed for the past 2 years and had injectifer 3 months ago. I tested with an iron saturation of 10 in November this year. I have noticed now that each time I fail a urine drug test, I am in need of an iron transfustion. Is there a relationship in this situation and if so, where do I find the documentation to support this. Of course, they are refusing to write my pain meds for me. This is very dibilitating and prevents me from preforming normal daily activities. I can no longer work. I also am diabetic taking Farxiga 5 mg daily and glimeperide 4 mg bid. Lisinopril/HCTZ 20/25 bid; Paxil 40 Mg daily; Zegrid 40/1000; robaxin 500 mg tid; gralise 1800 mg daily, botox injection for migraines; I also do no absorbe PO iron tablets.

I have had all of these tests run. I do not have the hard copy values yet semicolon however, the results in most cases were in normal range. Vitamin D was low / 24 /.. I am supposed to add vitamin D 1000 milligrams daily OTC. I had stomach spasms and digestion issues during the ages of approximately 7 to 13. No eating disorders were present. Still have stomach spasms Also have had ulcers. On December 1st. It is now in the 10 + range. My iron saturation is 10 and is probably somewhat lower now. When my iron levels drop, My hemoglobin has dropped from 13.6 on December 1st. It is now in the 10 plus range. My iron saturation is 10 and if probably somewhat lower now. When my iron levels drop, I do not seem to replace with new red blood cells. I will have the first of two iron transfusions this week on Wednesday And I will go back in one week to receive this second transfusion. The last time I received injectifer. This allowed the hematologist to give me a larger dose of iron. It is still not known why my body cannot hold on to iron know why I do not absorb po tablets. Can you make a couple suggestions on possible metabolic testing? I still feel that there is a relationship possibly between low iron and ineffective testing. I took all of my medication, in fact my pain level was so high, had I had a little more prescribed. I would have taken it. Many times I feel that I have megacolon because some of my food passes so quickly. I do have IBS but has been able to control most of my symptoms. Approximately 20 years ago, I could eat at certain restaurants and within 30 to 45 minutes was having severe cramping and violent diarrhea. Through trial and error, I learned I could not eat several seasonings, flavor enhancers or tenderizers used by some steakhouses nor could I eat from anyone's salad bar as the ingredients were treated against browning. Therefore, I learned where I could not eat. I am Not sure if I let you know that I have severe restless legs syndrome for which I take ropinirole 8 milligrams ER. At this point, it is not as effective as it was. I am negative for celiac brew confirmed by scope. I also do not have H pylori confirmed by blood work. ( my husband does have it).
Hi go back to the neurologist February 1st to go over my lab work. He will also conduct an EMG at that time. He said after we get the results, will talk about what we need to do next... I am having extreme burning in my thighs and calves 24/7.
Can you suggest a possible cast or tests that might be run to try and pinpoint my metabolic issue. I know it may be coincidence, but when my iron levels drop, I I'm home able to pass my drug test.