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Real members of myMPNteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
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June 10
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This is actually a nuanced situation with PV — low iron isn't always treated the same way it would be in someone without PV. In fact, low iron can be a *goal* of some PV treatments, because it helps slow down the production of excess red blood cells. Here's why it gets tricky:

- Phlebotomy (regular blood removal) is a Show Full Answer

This is actually a nuanced situation with PV — low iron isn't always treated the same way it would be in someone without PV. In fact, low iron can be a *goal* of some PV treatments, because it helps slow down the production of excess red blood cells. Here's why it gets tricky:

- Phlebotomy (regular blood removal) is a common PV treatment that intentionally creates low iron levels to limit red blood cell production
- Iron supplements could actually work against your PV treatment by encouraging more red blood cell production
- Vitamin C increases iron absorption, so high doses may also be something to be cautious about
- B vitamins like B12 and folic acid can also stimulate red blood cell production That said, low iron can cause fatigue and other symptoms that seriously affect quality of life, as one myMPNteam member shared from their own experience managing PV.

The most important step is to talk with your hematologist before taking any iron supplements or multivitamins containing iron. They can help weigh the risks and benefits based on your specific situation and treatment plan.

June 10

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