Hello, I’m a 35 yo male with serum iron 25 and low energy. The VA says that I’m healthy and I just need to take Iron supplements. Do I need a second opinion?

CBC

WBC: 6.83 RBC: 4.73 Hemoglobin: 14.5 Hematocrit: 43.9 MCV: 92.8 MCH: 30.7 MCHC: 33 RDW: 12.1 Platelets: 275 MPV: 9.3

Neutrophils %: 65.4 Lymphocytes %: 24.5 Monocytes %: 7 Eosinophils %: 2.3 Basophils %: 0.7

Neutrophils Abs: 4.46 Lymphocytes Abs: 1.67 Monocytes Abs: 0.48 Eosinophils Abs: 0.16 Basophils Abs: 0.05

Immature Granulocyte %: 0.1 Immature Granulocyte Abs: 0.01 NRBC %: 0

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CHEMISTRY / METABOLIC

Glucose (non-fasting): 97 BUN: 13 Creatinine: 1.15 eGFR: 83 BUN/Creatinine Ratio: 11.3

Sodium: 135 Potassium: 4.4 Chloride: 99 CO2: 26 Calcium: 9.2

Total Protein: 7.6 Albumin: 4.6 Globulin (calc): 3.0 A/G Ratio: 1.5

Total Bilirubin: 0.7 Alkaline Phosphatase: 90 AST: 20 ALT: 16

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LIPIDS (NON-FASTING)

Total Cholesterol: 202 LDL (calculated): 147.4 HDL: 44 Triglycerides: 53

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IRON

Serum Iron: 25

(Referral note: “severely low serum iron”)

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OTHER

Hemolysis Index: Negative Icterus Index: Negative