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Posted inDr. Roach

Suspecting and diagnosing hereditary hemochromatosis

DEAR DR. ROACH: My husband was diagnosed with hemochromatosis 13 months before he died. I recommended that his blood relatives get tested so they can get treatment early, if necessary. Some doctors don’t know to check ferritin levels to make a diagnosis in a person with a family history of hemochromatosis. — C.G. ANSWER: Hereditary […]

Posted inDr. Roach

Recognizing and diagnosing cold agglutinin disease

DEAR DR. ROACH: What are the symptoms for cold agglutinin disease, and how is it diagnosed? — P.W. ANSWER: Cold agglutinin disease is a specific type of anemia where antibodies attack and destroy a person’s own red blood cells. Unlike the usual type of autoimmune hemolytic (“hemolytic” means “destruction of red blood cells”) anemia, the […]

Posted inDr. Roach

Very high levels of prolactin can indicate a tumor

DEAR DR. ROACH: I am a 63-year-old man. At a recent visit to my endocrinologist for my annual thyroid check (I have Hashimoto’s disease), I revealed that I have been suffering from fatigue and erectile dysfunction. After additional blood work was performed, my doctor indicated that I have low testosterone levels and high prolactin levels. […]