Discussion Forums > Thalassemia Major
Ferritin too low?
love and prayers:
Sorry your ferritin is 100 :yahoo :cheer :cheer
Andy Battaglia:
Apollo,
As long as liver and kidney monitoring is regular, there is no reason to not carry a lower ferritin level. The old levels of 1000 and 500 have been discarded by doctors who now realize that any iron loading is too much and the ferritin goal is normal when possible.
Note to Love and Prayers. the best way to control Ineffective ErythropoIesis is by maintaining a hemoglobin level that is always above 9-9.5.
love and prayers:
That's what I thought too Andy but somehow when ever people talk about transfusion and chelation being handled correctly they mention I.e and hemolysis as added problems that need to be dealt with. So what about hemolysis now that the I.e is out of the way as well?
Andy Battaglia:
Hemolysis will occur with any transfused blood, so the goal is to slow it as much as possible. Again, keeping Hb up above 9 is a key. Proper blood matching is also essential in avoiding the antibody reactions that cause sudden hemolysis. Use of antioxidants is also important.
love and prayers:
What about L-glutamine?
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