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Can Anyone Help Please...

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Waleed:
Hi Emby,

I can tell you from my personal experience of past many years that I had no change in my Hb levels when I was doing intensive weight training exercises at gym 45-60 minutes 5 days a weeks for continuous 8 9 months. But now I am seeing hb levels dropping faster because of similar spleen issue. Please do not ask your eldest son to stop exercise, its very essential for long term health.

Emby:
Thank you Andy and Waleed.

He won't stop going....so all good!

Emby:
Recently he has had transfusion at three weeks and even two weeks...but still he is not allowed the total amount his body needs.
His old treatment works for him. It needs to be given a chance again to give him a better quality of life.

Prayers to everyone's children; May Allah Most Merciful grant the best of health always. Aameen. :heartred

nice friend:
Emby,
in addition to what Andy and Waleed has said above ,, i want say that,,
1) volume of blood (RBCs) is calculated to the weight of the patient,,, as far i know 10-15ml/kg is the normal blood requirement for a thal ,,, as your son is in growning age and would be gaining weight so it could be a reason behind  decrease in gap of Tx interval and increased blood requirement....

2) another reason i witnessed here in the thal centers of my city is the mixing Normal Saline in blood to make 2 blood bags out of one to overcome blood shortage ,,, tha t means less RBCs in a blood bag than a normally transfused blood bag ,,, that means it is not the accelerated hemolysis behind this ,, it is less increase in hb than a normally transfused blood bag ...  i dont know about the situation at your place but now its a common practice here ....

Ameen ... :)

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