Could my Jilazo injection have caused my stored iron (ferritin) levels to become too high and my body's iron-binding capacity (TIBC) to drop, and if so, why did my hemoglobin and overall blood iron levels actually decrease? What does having high stored iron mean, is it dangerous for someone with my genetic red blood cell condition (beta thalassemia trait), and is it safe to take my newly prescribed Folvite, Lupiheme, and Quicobal given my acid reflux and inflamed food pipe?
It is normal for a Jilazo (ferric carboxymaltose) injection to quickly boost your stored iron (ferritin) and lower your TIBC, while your hemoglobin takes several weeks to rise. With beta thalassemia trait, your body already manages iron uniquely, so we carefully monitor these levels to avoid overload. Regarding your new prescriptions?Folvite (folic acid), Quicobal (methylcobalamin), and Lupiheme (heme iron)?folic acid and B12 are typically very gentle. However, oral iron like Lupiheme can sometimes irritate acid reflux and an inflamed food pipe. I recommend taking them with food and discussing a stomach-protective plan with your doctor to keep you comfortable.