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Thalassemia Patients and Friends and thalpal Ā© A. Battaglia 2017





54504 Posts in 5759 Topics by 5929 Members
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Author Topic: After Transplant  (Read 284 times)
zahra
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« on: March 30, 2018, 03:01:25 AM »

Hi Everyone,
My son is now more than a year post transplant.
We have been lucky to have no GVHD and to get 100%
donor cells.
I wonder where all other transplant patients go.
My son has not needed a transfusion for a year now but his Hb stays between 8 and 9. Is this normal?
His donor was his thal minor brother with a Hb of 12.4.
At first they told me it was maybe bc of immune and hence bone marrow supression.  He has been off those for 3 months now.
Last test his ferritin increased by almost 200. I know it could have risen due to infection but worry about it being increased gut absorption bc of his low Hb like in thalassemia intermedia.
How long does it take for Hb to go up after stopping all myelosurpression?
Zahra
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Andy
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« Reply #1 on: April 07, 2018, 01:35:20 PM »

The curethalassemia.org FAQ page states that the expected Hb after a BMT from a minor should be in the 10-12 range.

Quote

After a successful BMT,the child will be thalassemia minor/trait carrier?
Yes,the child will be a thalassemia minor carrier,with an haemoglobin level around 10-12.

It may be that the immune suppression is still responsible for the low Hb. I would think the final outcome should be an Hb similar to his brother's.
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Andy

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zahra
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« Reply #2 on: April 08, 2018, 11:32:34 PM »

Dear Andy,

Thank you for your reply. I hope it is correct and his Hb improves but until then do you think I should restart him on the supplements he was on before transplant?
Like the homeopathic medicines for preventing splenomegaly and wheatgrass and IP6 to prevent complications from prolonged low Hb?

Zahra
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Andy
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« Reply #3 on: April 14, 2018, 01:45:49 PM »

Yes, the supplements may help raise the Hb and the IP6 will help with the remaining iron load. Whatever you give him, add B-12 sublingual tablets to the mix.
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