Thank you for your query at DoctorSpring.com
Based on your blood tests attached in the reports, I find no specific abnormality. There are several forms of Iron available and measurable in the body. They are taken together when considering the test reports and not in isolation.
Since you have said you are perfectly normal, I assume that you do not have any specific symptoms associated with anemia and your Hemoglobin is in normal range. Extreme physical stress causes no gross change in iron levels. A physican is more concerned about Hemoglobin and not other parameters as they can fluctuate.
Generally TIBC, serum ferrtin, etc are considered along with other blood parameters. I do not consider your parameters as abnormal. You can take health vitamins as per your physicians advice. A normal healthy well balanced nutritious diet is more than sufficient to maintain your health.
Please let me know if you have any additional concerns.
Patient replied :
By the way, I never said I was "perfectly normal". I said I was healthy.
And to the contrary, I had CLEAR symptoms of an inadequate level of iron of 56. I became extremely tired, then moved into deep achiness--the latter which is a common symptom of anemia for me. And there is plenty of research out there which underscores that one can be anemic without having a low hemoglobin. That fit me to a T.
And to the contrary, the extreme stress did, in fact, lower my iron from 104 to 56. I had done labs before these 8 days, and my iron was 104. By the 8th and final day of this extreme physical activity, I started feeling quite tired, then started into achiness on the 9th and subsequent days. I then did labs--I was now 56. And when you read about the free radical production associated with stress, you find that free radicals feed on iron. The correlation was strong.
Today, I am unable to bring that serum iron back up, and is the mystery I seek an explanation for.
I request you to send a complete list of all the blood investigations you have done.
It will help me correlate better and give an informed opinion.
Patient replied :
I am hoping to do RBC, HCT, MCV, MCHC, neutrophils, CBC with diff this week. I hope to also do copper and ceruplasmin, which has been mentioned twice to me. Whoever can figure this out is going to get a gold star from me!
I can definitely help you provided i see the complete list of test reports you're getting done.
Otherwise it is difficult to correlate.
This consult will be open. You can get back with reports anytime.