"Maintain my serum ferittin level in normal range after splenectomy"

I am very very very thankfull for your kind and important advice respected andy sir.

Good luck!

Hello Honourable and Respacted Andysir,
                        I have attached latest monthly routine report. I have one question related to this report and the question is that "Have you seen any problem in this report?" I haven't any problem but even though I am asking you a this type of question because I have doubt. So please give me a proper and usefull advice. I need your advice on this matter. I hope you will give me your feedback as soon as possible related to this issue.

Tarak,

The only high level is the ALT. Creatinine and urea are within normal range. When did you stop taking Exjade?

Honourable and Respected Andysir,
                              Thank you very very much for your feedback. I have never stopped my asunra or exjade till today but of course increased my dose upto 5 tablets daily of 400mg each from dated 25th July 2011 as per my doctor’s advice because my weight was gain from 40kg to 50kg in last 4 months so I have taking daily 2000mg asunra or exjade daily as per 40mg/kg/day as per my doctor’s advice and never missed a single dose from started on 22nd April 2011 to till today’s date. I am very careful to taking all my medicines daily and never missed a single dose. I am taking now asunra or exjade 5 tablets daily of 400mg each, pentids 400mg twice daily and folvite 5mg once daily. I have taking all of these medicines on regular basis and never missed a single dose. Honourable and Respected Andysir “what do you think for my reports after read all of things that I have mentioned above? Does my reports normal? Is there any reason for me to worry from my reports?” Please give me your important and useful advice related to this issue. I hope you will give me your feedback as soon as possible related to this issue.

Thank You.   

Tarak.

Tarak,

Your ALT score is slightly high and this is most likely due to Exjade. However, the level is not high enough (5x normal) to consider stopping the drug. Even this score may be lowered some by trying some various things, if needed. Stay well hydrated, but this goes for anyone on Exjade. Splitting the dose in two may also help. Getting tested early in the day usually will result in lower ALT's, as daily activity tends to raise this during the day. As I said, the level is of no concern now, so please don't worry about it. It is quite common to see ALT's rise on Exjade but as long as it is not a severe increase, no alarm is warranted.

Honourable and Respected Andysir,
                         Thank you very very much honourable and respected andysir for your important and useful feedbacks and especially give me a peace of mind.

Thank you.

Tarak.

After having a splenectomy, have you seen a drop in your blood ferittin? This goes to all that have gotten one. I still have mine.

HI ANDY.
i have also had my spleen removed in 1995. since then i have been on oral penicillin 250mg twice a day. what do u advice? should i continue taking it or not take it? pls  advice.
thank u.
 shaziya

Yippee, I have succeeded to drop down my serum ferritin level. My serum ferritin level is 3516.0 ng/ml as per 28th September 2011. I have been dropped down my serum ferritin level by 4834.7 ng/ml in last four months.
 

Excellent progress Tarak! I think you will find that once it begins to drop, it drops quicklyy.

Shaziya,

All of the recommendations I have seen for post splenectomy care are to do exactly what you are doing for life. This could eventually change, but for now 250 mg penicillin twice daily is the routine.

HI ANDY.
thank you so much for replying so soon. it is a relief to know that there is somebody we can turn to when we want to know something. when i saw some references to some vaccines i started having doubts if i was doing the right thing. thanks once again.
shaziya


HI TARAK.
CONGRATULATIONS . v happy for u. wishing u all the best in bringing ur ferritin down....

shaziya

Thank you very very much for motivate me. My special thanks to honourable and respected Andy sir and dear shaziya. I am happy to see both of you here and motivate me. Please keep motivate me to bring down my serum ferritin level under 500ng/ml.

Once again thank you both of you.

Tarak.
 
 

Tarak,

It's all you doing the work. Your own inner strength and confidence are what is needed to take control of your health and you have made great progress. We can point the way but it's up to you to make the decision to live. I am proud of how hard you are working to turn things around.