anemia

  1. Nelson Vergel

    Why "Normal" Ferritin Can Still Mean You're Iron Deficient

    By Nelson Vergel — chemical engineer, patient advocate, and 34+ years on TRT | Last updated: July 2026 You feel flat. Training that used to feel easy now drags. You're sleeping enough, your testosterone looks dialed in, and your doctor says your bloodwork is "normal." So why the fatigue? For a...
  2. madman

    Iron! Too Much or Too Little

    * Personally I and most hematologists use actually a ferritin cutoff of 50 ng/dL * GI iron absorption only returns to normal ferritins of 50-60 ng/dL https://www.vumedi.com/video/iron-too-much-or-too-little/
  3. C

    Iron issues

    Hello everyone, I hope everyone is doing well today. Looks like I may have found the source of my fatigue, after reviewing my recent iron labs I noticed things look off. My iron saturation is testing at only 17% while my ferritin is 151. All rbc parameters test as robust if not slightly...
  4. madman

    New insights into iron deficiency (anemia)

    https://www.vumedi.com/video/new-insights-in-iron-deficiency-anemia/ By SOHO ITALY FEATURING DOMENICO GIRELLI TAKE-HOME MESSAGES https://ifpbm.org/scientific-associates/prof-domenico-girelli/
  5. madman

    Clinical Consequences of lack of Standardization/Harmonization of Ferritin Assays

    * The lack of standardization and harmonization among ferritin assays results in significant variability in clinical values. These assays have different reference ranges and numerous clinical cut-offs for interpreting anemia and iron toxicity. This inconsistency is due to manufacturers using...
  6. madman

    A More Appropriate Ferritin Threshold is Cost-Effective for Iron Deficiency Screening

    * The current world health organization guidelines have the lower limit of normal for serum ferritin at 15 micrograms per liter, whereas we know from physiological studies… that a more appropriate threshold is probably 25-to-30, maybe even as high as 50 micrograms per liter Iron...
  7. madman

    What is the serum ferritin to diagnose iron deficiency?

    https://www.etsu.edu/com/intmed/facultymeans_robert.php Dr. Means joined the ETSU faculty in 2014 to serve as dean of the ETSU Quillen College of Medicine and continued as dean until 2018. He is board certified in internal medicine and hematology. He is internationally recognized for his...
  8. R

    Anemic with very low BP's since starting trt gel

    Hi. I'm new to the forum and happy to be here. I'm noticing a lot of posts are about trt gel, which I started 6 weeks ago; I joined a trt forum on Reddit and no one seemed to be taking my questions very seriously because I wasn't doing injections. After about three days of starting Androgel...
  9. madman

    Efficacy of TRT in Correcting Anemia in Men With Hypogonadism

    Abstract IMPORTANCE Testosterone deficiency causes mild anemia. Whether testosterone replacement therapy (TRT) can correct anemia or prevent the development of anemia in men with hypogonadism remains incompletely understood. OBJECTIVE To assess the efficacy of TRT in correcting anemia in...
  10. madman

    Balancing Act: Navigating Elevated Ferritin Levels in Primary Care

    How should I explain raised ferritin to a patient? Before explaining the result, we recommend reviewing the initial reason the test was requested and how the result may or may not be in line with the initial thought process. We suggest explaining: • Ferritin is a marker of iron stores in the...
  11. madman

    Additional TRAVERSE data on testosterone therapy coming soon

    “Because this was the largest trial ever of testosterone replacement therapy, although the primary point of the trial was cardiovascular safety, we embedded within the trial several efficacy and other sub-studies,” says A. Michael Lincoff, MD...
  12. D

    Nandrolone for a cancer patient?

    I have had a very rough go with a blood cancer for the last 2 1/2 years. I've lost weight, and more importantly, muscle mass, as my body composition has shifted due to inactivity and in ability to exercise. I am down to 135 pounds, and my weight is still ever so slowly decreasing. There are...
  13. T

    Anemia and hematocrit

    Hello everyone I wanna first thank you all, I learned a lot here about TRT. I am 23y and I had severe congenital anemia when I was a kid, which was treated by chemotherapy(the cause of my hypogonadism) and bone marrow transplant. I still have a little bit of anemia and I started with tostran 2...
  14. D

    Anemia, Low Ferritin, "Normal" Serum Iron

    Im a 33 year old man with hashimotos thyroiditis, on trt for a few months now. Due to ongoing health problem I decided on my own to have iron and ferritin tested on Monday, revealing ferritin levels of 15ng/ml. This was unexpected. I actually was worried that my iron was going to be too high. I...
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