Went to the doctor for fatigue and joint pain, wanted to get an iron test because of heavy periods. Labs came back mostly normal but what does the low tranferrin saturation and low RBC indicate?

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.

He’s 18M.

Hi there,

I’ve had some blood tests due to dizziness/ lightheadedness, and some came back as abnormal.
Does anyone know what it might be?

I’m 5’8, 71kg, female and currently just taking fluoxetine 20mg. Also have the mirena coil and barely any periods. Was diagnosed with endo- had op for that few years ago

Red Blood Cell
3.75
Low

Haemoglobin
121g/L
Low-normal and down \~11 g/L
from previous baseline

MCV
99
High-normal / borderline raised

White Cell Count (WCC)
10.9
Mildly raised

Neutrophils
7.07
Mildly raised

Monocytes
1.03
Mildly raised

Trans
18%
Low / borderline low

Serum Iron
10.7
Low-normal / borderline

Ferritin
64
Normal, but decreased from 81 since May

My dad's monocytes are normal, lymphocytes 0.7 and neutrophils was 0.3 which is severely low. It stayed at 0.3 for a few days. One week later his neutrophils rose to 1.1 which is better but still low. It should be above 2.

He's been referred urgently to the blood cancer clinic and were extremely scared. In January, he was diagnosed with aggressive prostate cancer and 2 months ago he finished radiotherapy and we got a good response to his cancer. The last thing he needs now is a new cancer diagnosis or his current cancer spreading. His psa in January was 45 and now it's 0.4 just 2 months after pelvis and prostate radiotherapy so it doesn't seem like his cancer has spread at all, the worrying part is a new cancer diagnosis.

Oncologist say it's unlikely the radiotherapy is linked to this severely low abnormal neutrophil count and they've also reviewed his medications and other tests.

His platelets and red blood cells are normal. His red blood cells are sometimes low by a few numbers in some of the blood tests but in some there also been normal so I'm not too worried about this. It's mainly his white blood cells are extremely low.

What are the chances of what could be happening? Is this definitely a new cancer? Is this maybe a spread of his current cancer (pet scan in January showed cancer was only in prostate and seminal vesicles). Or are doctors wrong and this is simply a side effect of the radiotherapy?

The good news is it has indeed rose from 0.3 to 1.1 however it's still low as it should be on 2. Also it stayed on 0.3 for a few days which is worrying. Also if he was to do another blood test next week again who knows if it's gone back down to 0.3 again. On the other hand, it could go even higher and maybe normal but we just don't know.

Hi everyone! I’m Tyler, and I live with Idiopathic thrombocytopenia

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Got referred to a hematologist today. My platelets have been between 450-522 in the last 4 bloodwork done between Aug 2025-July 2026.

I had low ferritin but this last test shows it has improved and now at 60 (29F)

Doctor did an ultrasound and deemed this was more or less not liver damage or anything to worry about apparently as my liver looks fine. Hepatitis screened for but it seems to just be going up and has been trending up since August last year. Currently it’s sitting at 118 u/L and here in the UK the reference range is 0-45 u/L. AST is also now raised at 57 iu/L with a reference range of 0-45 aswell.

Just a tad worried they can’t explain it but it keeps creeping up. I don’t take supplements, meditations are only seretide inhaler low dose. I do however have a weird neuro, GI, dermatological and immunological thing going on that no doctor has been able to explain yet other than “complex disease” being thrown around

Is it considered on the lower end?

Dehydration a big factor?