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I'm anemic, but have good iron and B12 levels. Any ideas?

I've been following a lfrv diet for 4 years now and I never got my blood tested until last September. I discovered my RBC's, hemoglobin, and hematocrit were low, but my iron was good. Since my B12 was also on the low end I started taking shots and when I got my second tests done in December, my RBC's and hemoglobin went up a bit. I got tested again yesterday and my RBC's and hemoglobin dove down again. I have no idea what the issue could be if my iron and B12 levels are fine. Does anybody have any ideas or advice? I'll post screenshots of my tests down below.

First test: Sept 2014

Second test: December 2014

Third test: March 2015

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ok anyway, the MCV and MCH tests are done to find out the cause of the anemia, b12 or iron definciency should give abnormal results in those, which you don't have:

MCV within normal range: normocytic anemia

MCH within normal range: normochromic anemia

Normocytic/normochromic (NC/NC) anemia is caused by sudden blood loss, prosthetic heart valves, blood infection (sepsis), tumor, long-term disease, aplastic anemia, or deficiency of the hormone erythropoietin caused by kidney failure.

Got the rest of my results in. Not thalassemia and everything looks fine so I think I'll just wait and see for a bit and retest again a few months down the line.

Hey Matt. You've got a quick laboratory! This confirms that if you are anemic it's only a very mild anemia. Like you say probably best to wait, keep the fat intake up, avoid overtraining, and see if things get better or worse.

If your only symptoms are slight breathlessness and tiredness there could be some other cause, they're pretty non-specific symptoms. Your profile says your in Canada so maybe your vitD is low? 

I guess it's still possible that you have less iron than is ideal, maybe your body's ideal transferrin saturation is higher than 24%. If your symptoms don't improve it might be an idea to try a gentle iron supplement for a few months an see if it affects your CBC.

btw I wouldn't worry about the oxalate thing. I can't see dietary oxalates causing anemia symptoms in a young person with healthy liver & kidneys. Besides, minimising your oxalate intake requires more than just giving up non-lettuce greens, you'd also have to give up all the calcium-rich fruits like oranges, figs etc. 



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