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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Started Iron Tablets. Test Results Show Ferritin 9, Iron 53, TIBC 498. Suffer Fatigue, Dizziness And Pain In Neck And Chest. Guide?

on 5/14/13 Ferritin 9, Iron 53, TIBC 498, RBC 5.59, HGB 16, HCT 49.6. Started Iron tablets 6/11/13
on 7/31/13 Ferritin 43, Iron 157, TBIC419, RBC 6.3, HGB 18, HCT 55.4. Normal EPO and JACK2.
Immediate onset of fatigue late May 2 episodes of dizziness, constant painless red flush of neck and chest, white inner eyelids, pale nails, cold intolerance. Also have 3.3 cm kidney cyst. Creatinine generally runs 1.4 or 1.5.
On TRT since 6/12 and no blood issues until 7/13. Is this TRT related? Anemia? Polycythemia?
Tue, 3 Sep 2013
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General & Family Physician 's  Response
Hi,

You are on Testosterone replacement therapy (TRT) since june 2012 and has various issues like 2 episodes of dizziness, constant painless red flush of neck and chest, white inner eyelids, pale nails, cold intolerance and wants to know if its related to TRT.

TRT is related to increase in "red cell count" but none other symptoms are related to TRT.

They may be related to "THYROID HORMONE IMBALANCE" and need to checked for that.

Thanks. Hope it helps.
Dr.JAY PATEL
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Started Iron Tablets. Test Results Show Ferritin 9, Iron 53, TIBC 498. Suffer Fatigue, Dizziness And Pain In Neck And Chest. Guide?

Hi, You are on Testosterone replacement therapy (TRT) since june 2012 and has various issues like 2 episodes of dizziness, constant painless red flush of neck and chest, white inner eyelids, pale nails, cold intolerance and wants to know if its related to TRT. TRT is related to increase in red cell count but none other symptoms are related to TRT. They may be related to THYROID HORMONE IMBALANCE and need to checked for that. Thanks. Hope it helps. Dr.JAY PATEL