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Low ferritin and B12
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Good day to you ma'am
I understand your concern and it's good to know that you are vigilant and give utmost importance to your health. I am sure this must be distressing causing a hindrance in your day to day activities. I shall try to the best of my abilities to consult you.
Iron deficiency is very common among pre menopausal females due to loss of sufficient blood quantity on monthly basis
Generic Iron formulations have a high chance of causing constipation.
Next Steps
I kindly urge you to book a one to one consultation with your family physician or any physician you are comfortable with so that a workup (history, investigations) can be done followed by designing an appropriate alternate supplementation regimen which has better compliance coupled with dietary and lifestyle changes
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Hope this advice provides you the much needed insight
Wishing you a speedy recovery
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Yes, u can use
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Thank you for sharing your values. Your reports show:
1. Ferritin = 10.9 ng/ml
→ Low (indicates iron-store deficiency)
2. Serum Iron = 57 µg/dl
→ Borderline low
3. Vitamin B12 = 281 pg/ml
→ Low-normal / early deficiency
This combination suggests iron deficiency + early B12 deficiency, which is very common in females.
⸻
Is Femozer Plus appropriate for you? — YES
Femozer Plus (Ferrous bisglycinate + Methylcobalamin + Folic acid + Zinc) is one of the best and gentlest options for iron deficiency because:
✔ Ferrous Bisglycinate
• Causes much less constipation compared to ferrous sulfate or ferrous fumarate
• Better absorption
• Minimal gastric irritation
✔ Methylcobalamin
Helps improve low B12 levels.
✔ Folic Acid
Required for RBC formation.
✔ Zinc
Supports immunity and metabolism.
So this combination is perfectly suitable for your deficiencies.
⸻
How to take it (to reduce constipation + improve absorption)
• Take one tablet after food
• Drink plenty of water
• Increase fibre: fruits, vegetables
• Avoid tea/coffee for 2 hours after taking tablet
• Avoid calcium tablets within 4 hours (reduces iron absorption)
If constipation still occurs:
• Take Isabgol 1 tsp at night
• Or take tablet every alternate day (new evidence shows good absorption with less side effects)
⸻
How long to take it
• 8–12 weeks to correct iron deficiency
• Repeat ferritin after 2–3 months
⸻
When to add separate B12
Your B12 is borderline (281). If you have:
• Tingling/numbness
• Fatigue
• Mouth ulcers
• Memory issues
Then you may need separate methylcobalamin 1500 mcg weekly (only if symptomatic).
Otherwise Femozer Plus alone is usually enough.
Next Steps
When to contact doctor
• If iron does not improve after 8–12 weeks
• If severe constipation occurs
• If heavy menstrual bleeding is present (main cause of low ferritin)
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Your reports show clear iron deficiency even though your B12 is normal.
Ferritin 10.9 → low (ideal for women is 50–100)
Iron 57 → borderline low
B12 281 → normal but on the lower end of optimal
So yes, you definitely need iron supplementation, but it must be the right type because your body is not tolerating regular iron tablets.
1. Is Femozer Plus suitable?
Yes, Femozer Plus is actually one of the better choices for people who get constipation with regular iron.
Why?
Ferrous bisglycinate is a gentle, highly absorbable form of iron
Much lower chances of constipation, acidity, or stomach upset
B12 + folic acid help in red blood cell formation
Zinc supports immunity
This combination is absolutely appropriate for your current lab values.
2. How to take it to avoid constipation
Take it after food, not on an empty stomach
Drink 2–3 liters water daily
Add 1 tbsp isabgol in warm water at night if needed
Include fruits like papaya, pear, banana, raisins
Avoid taking tea/coffee within 1 hour of the iron tablet (reduces absorption)
3. How long to take it
To raise ferritin from 10 → 60+, you need minimum 8–12 weeks of treatment.
Stopping early will make levels drop again.
4. When to recheck
Repeat Ferritin + CBC after 10–12 weeks.
If you want a personalized correction plan
Iron deficiency often has a root cause heavy periods, diet gaps, absorption issues, or chronic inflammation.
If you want a proper plan with follow-up, dose adjustment, and diet guidance, you can consult me directly.
Message me on
nine three two six zero two zero five three six
on WhatsApp for a detailed review.
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Yes , continue for few days
For constipation take lot of fibre diet carrot. Beet root
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Kindly consult on nine nine three four eight three one six zero six...
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Yes — Femozer Plus is okay for you, and it is actually a better option if you get constipation from regular iron.
Why?
Your ferritin 10.9 = low iron stores
Iron 57 + B12 281 = on the lower side
Ferrous bisglycinate is gentle on the stomach → much less constipation than ferrous sulfate/fumarate.
It also contains B12 + folic acid + zinc, which helps overall blood building.
How to take (to reduce constipation):
Take after food, not on empty stomach.
Drink plenty of water.
Add 1 banana or 1 tsp ghee daily if you get hard stools.
Avoid tea/coffee within 2 hours of the tablet.
How long to continue?
Usually 2–3 months, then recheck ferritin.
You can safely take Femozer Plus.
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Add fibre rich food in your diet.. it'll relieve your constipation better
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The one you are suggesting also has iron. You can take it after food. If constipation persists after that,you can take some laxative like syp Dupahalac 10m.l. after dinner for 7 to 10days.
Also take glass of hot water after dinner.
Take more of fresh,green leafy vegetables, pumpkin, beetroot, fruits like pomegranate, apple, orange, drink more water. These will help in improving anemia, as well as constipation.
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You can consult me directly on Practo, or reach out via WhatsApp:
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I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
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Constipation. Is common with iron capsule.
It's good which u consume.
If Constipation is created big problem u can go for iron in iv form.
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly provide detailed history for proper diagnosis and further management
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