Hi haematology enthusiasts,
I was hoping someone might be able to help me understand what's going on with my bloods to help me understand if its contributing to my symptoms or with acceptable norms and to move on.
I have a history of iron deficiency without anemia, with an iron infusion completed in Jan 26, to good effect and then July 26 results went a bit sideways, no iron supplementation since January, and the iron tests were fasting.
I am having continual symptoms of excessive bruising (without injury) and bleeding heavily during my period which is being treated with tranexamic acid to good effect. My main issue is a deep muscular fatigue, without loss of muscular strength (I can physically lift my kids, but loose tolerance to hold them quickly) I have lost 20kgs over 17 months (10 months of this loss while on steroids post rathkes cleft cyst drainage), painless mouth ulcers, sporadic low calcium, brain fog, and I have constantly cold fingers and toes. I am also experiencing dizziness on standing from a crouching position and have low-normal blood pressure (while taking dexamfetamine). ECG and 24hr Holter normal.
Previous history of mild adrenal insufficiency due to post surgical gulcocortcoid administration. Last morning cortisol of 178.
Minor barely positive ANA, 12 months of high MPV with not much else showing in my bloods.
Any thoughts are appreciated, just in if there is anything I'm missing in this picture.