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Anemia in pregnancyFrom: Ricardo Savaris (savaris@orion.ufrgs.br)Sun Aug 9 09:15:04 1998
Dear Folks (old and new) For those who doesn't know Bob Wolley, after 3 years you will get used to him, and actually, I musta admit, I miss his controversial msg (sometimes.) Well, here is a case. I have a 25 y/old pregnant patient G1P0. She came (with 20 wks) from a poor area. I asked the initial lab work up, and her FBC was something like this: Hb 6.3 Eosinophils: 10%, the rest was normal. I gave an anti-helmintic drug (because of the Eosinophils) and Iron (Fisiofer: Isosuccinato of Iron, if I am not wrong) per 1 month and check last week her Hb. For my surprise it was 6.2. Nevertheless, she said that she took the medicine with milk (which I believe reduce the absorption of iron) I ordered a feces exame, also asked to take the medicine without milk, prefereably with something acid (i.e., orange juice). I am asking some help on this case, any idea?
-- Ricardo Savaris, MD and few more letters Your humble servant, who just received the 2nd half part of his salary of May yesterday!
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