RA, methotrexate and Anemia recently diagnosed

Posted by juj @juj, Feb 25, 2023

I have rheumatoid arthritis and have been taking methotrexate since July 2022 with 2 infusions of Rituximab in January. I have blood drawn every two weeks with my baseline established June 2022. My RBC, hemoglobin and hematocrit have been declining with each blood test and all three results are out of range. I recently had bloodwork for Iron TIBC, folate, serum, vitamin B12 and ferritin and all results are in range. Does anyone have experience with this or something similar?

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swalex | @swalex | May 8 11:01am

In reply to @kelsa "This is exactly what’s happening to me. My PCP is saying anemia of chronic disease but..." + (show)

@kelsa
May I suggest asking your rheumatologist, or PCP, for a "Full Blood Count (FBC/CBC)" to check hemoglobin, Serum Ferritin to measure stored iron, and Serum Iron with Total Iron Binding Capacity (TIBC) to measure circulating iron.

Serum Ferritin: This is considered the most important marker. It shows how much iron is stored in the body. A low ferritin level confirms iron deficiency anemia.

cynie | @cynie | May 9 9:02am

In reply to @synthiame "No, but I was on methotextrate for 20 years with no problems didn't even know I..." + (show)

Have anyone of you had Dapsone prescribed for your anti- immune diseases ?

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