19/08/2025
It seems that even medical health practitioners don’t understand anaemia and interpreting blood test results!
In a recent patient I found they had unknown/undiagnosed anaemia, which explained a lot of their symptoms of poor memory and concentration, inability to focus on things, headaches, and anxiety – all because the brain wasn’t getting enough blood or oxygen.
With there being hundreds of types of anaemia, it is important to understand what type of anaemia someone has, and what might be causing it. Anaemia is not all about iron!
This same patient had a B12 deficiency anaemia and a folate deficiency anaemia, called Macrocytic Anaemia from their high MCV results, which was confirmed with low B12 and folate. They were also a long-term vegetarian, and the diet was lacking in protein and together with low stomach function, had caused low Total Protein results. This was also likely causing the low production of haemoglobin, hence the anaemia.
But the iron results were very interesting! See the attached pic of the results.
Almost all of the iron results showed an iron overload in 2 previous sets of results! High serum iron and very high TS. But nothing was mentioned or done about this by the patient’s medical practitioner in the last 2 years and many blood tests in this time.
It actually gets worse… that the patient’s doctor recommended several iron infusions based on the patient having low ferritin. Even though the other iron studies results suggested they were in an overload situation! The existing iron overload and the additional high iron dose from the infusion would have doubled the oxidative damage being done to the body, and worsening the physical and mental health symptoms.
As the last blood results were from 8 months ago and I wanted to see some more current and some additional test results, the patient went back to their doctor to ask for these tests, including the genetic testing for haemochromatosis. I heard later from the patient that the doctor was in disbelief that I was suggesting that they had iron overload and anaemia at the same time. I’m in disbelief that the doctor couldn’t see the iron overload problem and still recommended and iron infusion!
Some lessons to learn in this example:
1. Anaemia is not just about iron, but about zinc, protein, thyroid function, stomach function, blood loss, parasites, and other causes and factors. Find what type of anaemia someone has and the causes and factors in each person
2. Do not just test for ferritin, or look at ferritin alone as a marker of iron sufficiency or deficiency! You can have low ferritin even in iron overload situations, or have high ferritin with low iron results.
3. And yes you CAN have anaemia AND an iron overload (haemochromatosis) issue at the same time!
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