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Medical Forum / Diseases and Disorders / Hepatitis / July 2006

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No Anemia after all

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Puckertoe - 05 Jul 2006 22:37 GMT
My blood test showed an improvement from the last test. 11.8 (borderline is
11.5) to 13.5. Well within normal limits.

So where could the fatigue and weakness be coming from? I don't think Enbrel
causes that type of reaction. Arthritis? God! I hope not. Diclofinec for
inflamation?

Does anyone else have fatigue and weakness and not anemic?

I don't mind saying that this is frustrating. I wish I could pinpoint where
it's coming from.
Paul - 06 Jul 2006 07:03 GMT
On Wed, 5 Jul 2006 14:37:31 -0700, "Puckertoe"
<puckertoe@puckertoe.com>, in message ID
<12aoc8rrho2t1a3@corp.supernews.com>, in the newsgroup
alt.support.hepatitis-c wrote:

>My blood test showed an improvement from the last test. 11.8 (borderline is
>11.5) to 13.5. Well within normal limits.
[quoted text clipped - 7 lines]
>I don't mind saying that this is frustrating. I wish I could pinpoint where
>it's coming from.

I can't recall if you are on tx or not.  I didn't go anemic on tx but
had plenty of fatigue and weakness.  It resolved once I'd been off it
a short while though.
Burke Gilman - 06 Jul 2006 07:46 GMT
> My blood test showed an improvement from the last test. 11.8 (borderline is
> 11.5) to 13.5. Well within normal limits.
[quoted text clipped - 7 lines]
> I don't mind saying that this is frustrating. I wish I could pinpoint where
> it's coming from.

I don't know, but 11.8 grams of hemaglobin per deciliter looks a bit
anemic to me! (Normal reference range 13.0 - 18.0 g/dL)

What's your hematocrit? If it is in the low 30s, then with the low
hemoglobin that would easily explain the fatigue, no?

Fwiw, my Hct has been hovering in the low thirties and my Hmg has been
in the elevens. At 11.8, I was feeling beaten down. Then it went
lower... Care provider states those values are fully consistent with
the fatigue I live with daily. (Treatment protocol calls for
intervention if Hct goes into the 20s or Hmg goes below 10.)

Anyway, glad to hear you don't have to be going for the Procrit now.

BG
elmoemerson@webtv.net - 06 Jul 2006 13:16 GMT

No Anemia after all  

Group: alt.support.hepatitis-c Date: Wed, Jul 5, 2006, 2:37pm (CDT-2)
From: puckertoe@puckertoe.com (Puckertoe)
My blood test showed an improvement from the last test. 11.8 (borderline
is
11.5) to 13.5. Well within normal limits.
So where could the fatigue and weakness be coming from? I don't think
Enbrel causes that type of reaction. Arthritis? God! I hope not.
Diclofinec for inflamation?
Does anyone else have fatigue and weakness and not anemic?
I don't mind saying that this is frustrating. I wish I could pinpoint
where it's coming from.
///////////
That's great your hgb went back up to over 13.  There are any number of
possible causes for your fatigue and weakness, everything from
dehydration to hypothyroidism.  Make sure you drink at least a couple of
gallons of water every day and take a multi-vitimin without iron.  How's
your diet?  How many other drugs are you taking and what are their side
effects?  Have you become inactive while on tx?  What's your blood
pressure look like?  And has your doc checked your thyroid functions
lately?  Hell, your fatigue may be a combination of small things that
otherwise wouldn't be a problem, bu bu but together.....cause fatigue.  
Maybe it's just time I gave you another boot in the a.s, just for kicks.
:-)
elmo  

http://community.webtv.net/elmoemerson/DocElmosHepFile

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Burke Gilman - 06 Jul 2006 21:20 GMT
Oh... I now understand your hmg is not at 11.8 but now up to 13.5...
now I see why you are asking about what might be causing fatigue...

Elmo has good points, imo. You might note TSH level (which may be on or
lab report) is inversely proporational to your Thyroid Hormone level.
If TSH is higher, that indicates Thyroid function is down and that
would take overall metabolic rate down with it...

But 13.5, that's the stuff. I gotta get some of that some day!

-- BG
Puckertoe - 07 Jul 2006 00:02 GMT
My thyroid is fine this time around. I went and saw the Endo last week and
he said "All normal!". Much better than my last tx when it was all whacko.

I'm taking 50mg shots of Enbrel twice a week for arthritis and psoriasis.
150mg Diclofenec(Volteren) daily for inflamation
50mg Toporol XL daily (Beta blocker. Since my thyroid is fine no need to
take this anymore.)

Plus the daily/weekly hep-c tx.

I'm not very active at all. If I do housework/yardwork I don't last very
long.

I eat a lot of fruits and veggies. Plus the occasionl breakfast cereal.

I don't drink nearly as much as I should.

I'd be too damn tired to do anything about that boot in my a.s.

Let's just hope this passes like bad gas.

> No Anemia after all
>
[quoted text clipped - 26 lines]
>
> http://community.webtv.net/elmoemerson/TheFamilyAlbum
Sara - 07 Jul 2006 01:02 GMT
Hey PT

"I don't drink nearly as much as I should".....  and that's
probably part of the reason you feel crummy!

MAKE yourself drink.  My doctor says I should be drinking AT
LEAST half of my body weight in ounces of water.... so if I
weighed 150 lbs I should drink AT LEAST 75 ounces of water a day.
On top of anything else I drink.

I'm actually drinking more water than that, I drink a minimum of
96 oz a day, and usually try to drink a whole gallon.  It makes a
HUGE difference in how I feel.... and I don't go anywhere without
my 32 ounce sports bottle full of ice water!

Try it, you may find you have a little more energy and no more
light headedness!  Works wonders with that queezy feeling you get
in your stomach too....

Sara

> My thyroid is fine this time around. I went and saw the Endo
> last week and he said "All normal!". Much better than my last
[quoted text clipped - 64 lines]
>>
>> http://community.webtv.net/elmoemerson/TheFamilyAlbum
Ally - 07 Jul 2006 03:24 GMT
> Try it, you may find you have a little more energy and no more
> light headedness!

I don't drink enough either and am always lightheaded, no wonder, never
knew it had to do with that. When I workout at the gym I am always
seeing stars, having to refocus and keep myself from you know, passing
out... very annoying. My Drs been kicking me in the a.s to drink more
but water makes me rather nautious, guess I'll just have to force it
down.

Ally
greyhackles - 07 Jul 2006 03:42 GMT
>> Try it, you may find you have a little more energy and no more
>> light headedness!
[quoted text clipped - 7 lines]
>
>Ally

Well, it doesn't have to be plain water, pretty much anything that isn't a
diuretic will do.

Fwiw, while I was on therapy I discovered a half-aisle of different flavored
waters at the local food store. Must've been a dozen different flavors from
one company alone, and there were at least three different company's products
to pick from. I bought a mixed case with a half-dozen flavors that I thought I
could gag down (those were some deeply dark days on therapy where almost
everything tasted like metal to me) and found I actually enjoyed most of them,
and tolerated the rest.

The 1 ounce per two pounds of body weight "extra" intake over the 6 to 8
"glasses" per day for "normals" is the same thing I'd heard or read.
For me, that meant downing around 100 ounces on top of around 60 ounces per
day. It also meant making sure I was within trotting distance of a bathroom at
all times ;-)

Cheers

/greyhackles
Waterspider - 06 Jul 2006 22:56 GMT
> My blood test showed an improvement from the last test. 11.8 (borderline
> is 11.5) to 13.5. Well within normal limits.
>
> So where could the fatigue and weakness be coming from?

Maybe you've got hep C?
Puckertoe - 06 Jul 2006 23:55 GMT
BWAHAHAHAHAHAHAHAHAHAHA!!!! <<sniff>>

Oh God. I needed that.

>> My blood test showed an improvement from the last test. 11.8 (borderline
>> is 11.5) to 13.5. Well within normal limits.
>>
>> So where could the fatigue and weakness be coming from?
>
> Maybe you've got hep C?
Waterspider - 07 Jul 2006 08:53 GMT
Hang in there, Toe, your sense of ha-ha will get you through this, I
promise!
Waterspider

> BWAHAHAHAHAHAHAHAHAHAHA!!!! <<sniff>>
>
[quoted text clipped - 6 lines]
>>
>> Maybe you've got hep C?
 
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