Low RBC, Hematocrit, and Hemoglobin Levels and Fatigued

[ubuffman2001]

I am a 29m with CF. I have good lung function, FEV1 around 90 percent and normal sugar levels. I have suffered from severe fatigue for about 5 years now. I was treated for mild sleep apnea even having a surgery to correct a slightly deviated septum. Last June I had a sleep study and it showed no signs of any sleep disturbances.

About a month ago, my doctor had a CBC performed and also checked my B12, folate, and ferritin levels. The out of limits results are below:
C02= 32mEq/L (high)
RBC = 4.36M/uL (low)
hemoglobin 13.6g/dL (low)
hematocrit = 39.7% (low)
MPV = 12.2 fL (high)
NEUT = 81% (low)
Lymph = 12% (low)
Cos = .21K/uL (high)
Folate Serum = 16.2ng/mL (high)
Vitamin B12 = 1534 = pg/mL (high)

Can anybody with medical background provide some guidance on how these levels could be affecting my energy levels? I did take an iron pill (ferrous sulfate) about a week before getting these tests done for 2 days. I noticed that when I woke up I was tired, but if I took a nap, afterward I had much more energy. This only worked for 2 days, then the pill lost its effect. Has this ever happened to anyone else?

 

[ubuffman2001]

I am a 29m with CF. I have good lung function, FEV1 around 90 percent and normal sugar levels. I have suffered from severe fatigue for about 5 years now. I was treated for mild sleep apnea even having a surgery to correct a slightly deviated septum. Last June I had a sleep study and it showed no signs of any sleep disturbances.

About a month ago, my doctor had a CBC performed and also checked my B12, folate, and ferritin levels. The out of limits results are below:
C02= 32mEq/L (high)
RBC = 4.36M/uL (low)
hemoglobin 13.6g/dL (low)
hematocrit = 39.7% (low)
MPV = 12.2 fL (high)
NEUT = 81% (low)
Lymph = 12% (low)
Cos = .21K/uL (high)
Folate Serum = 16.2ng/mL (high)
Vitamin B12 = 1534 = pg/mL (high)

Can anybody with medical background provide some guidance on how these levels could be affecting my energy levels? I did take an iron pill (ferrous sulfate) about a week before getting these tests done for 2 days. I noticed that when I woke up I was tired, but if I took a nap, afterward I had much more energy. This only worked for 2 days, then the pill lost its effect. Has this ever happened to anyone else?

 

[ubuffman2001]

I am a 29m with CF. I have good lung function, FEV1 around 90 percent and normal sugar levels. I have suffered from severe fatigue for about 5 years now. I was treated for mild sleep apnea even having a surgery to correct a slightly deviated septum. Last June I had a sleep study and it showed no signs of any sleep disturbances.
<br />
<br />About a month ago, my doctor had a CBC performed and also checked my B12, folate, and ferritin levels. The out of limits results are below:
<br />C02= 32mEq/L (high)
<br />RBC = 4.36M/uL (low)
<br />hemoglobin 13.6g/dL (low)
<br />hematocrit = 39.7% (low)
<br />MPV = 12.2 fL (high)
<br />NEUT = 81% (low)
<br />Lymph = 12% (low)
<br />Cos = .21K/uL (high)
<br />Folate Serum = 16.2ng/mL (high)
<br />Vitamin B12 = 1534 = pg/mL (high)
<br />
<br />Can anybody with medical background provide some guidance on how these levels could be affecting my energy levels? I did take an iron pill (ferrous sulfate) about a week before getting these tests done for 2 days. I noticed that when I woke up I was tired, but if I took a nap, afterward I had much more energy. This only worked for 2 days, then the pill lost its effect. Has this ever happened to anyone else?