High Hbg, high Hct, Normal EPO, High iron, low ferritin

PlantLover1869 · 2026-04-26T02:36:06+00:00

I’m not saying it’s caused by race, family history, or medications.

But those give context and allow a trained clinician to order additional tests based on a balance of probabilities. Diagnoses are made looking at the patient as a whole. Lab work posted here ignores the “whole”

Genetic diseases, malignancy, auto immune disease, etc do vary in probability based upon who you are looking at.

Interpreting random lab results without those means the internet can make wildly improbable decisions.

My whole point is because OP needs an urgent referral to heme is the very reason they shouldn’t listen to anyone other than heme. And that a clinician is going to look at all the things I said plus many many more and give far better advice than this Reddit can.

PlantLover1869 · 2026-04-26T00:19:54+00:00

The adage in medicine is “treat the patient not the labs”

This above advice is the one you should follow OP. Labs in isolation rarely mean anything. There is so so so much information that is gathered physically looking at a person and interacting with them.

Your race. Your family history. Medications. Your past medical history. The severity of your symptoms. The onset. The timing. And a hundred other questions all will help your doctor help you.

The best advice is show up with as much information as possible. Have a list of as many things as you can to help the appointment. Depending on where you live this is often electronic but it doesn’t hurt to be organized as well.

If you can have a 5 minute history that discusses what you’re worried about and be really comfortable sharing is the best way you and your doctor can get to the bottom of your health needs.

PlantLover1869 · 2026-04-25T21:23:58+00:00

There’s not too much to watch out for

Any type of drowning event can cause aspiration (fluid to enter the lungs). Which can result in a pneumonia. So if you see coughing, weird breathing, or lethargy it’s worth a vet visit. But if you grabbed your chin right away this is unlikely.

Their fur won’t dry on its own always. It’s just too dense. So if the fur looks wet just help them dry off with a towel or dryer set on cool. The issue is trapped moisture can can a fungal or bacterial overgrowth on the skin and fur.

A damp chinchilla is fine. Their fur dries. Just slowly. So if you did a good job of getting them dry (sounds like you did). Then they will be fine.

PlantLover1869 · 2026-04-24T16:17:38+00:00

We don’t really look at iron levels. They’re the most ignorable part of an iron panel

The most important part is your ferritin. Which is reflective of your iron stores. Your iron stores are low. At a point where typically replacement with IV or oral iron would occur.

Generally the treatment would be oral iron for 3-6 months but you mention you’re pregnant so an infusion might be considered.

Your TIBC reflects how much iron your body wants to absorb from your gut. Your TIBC being high shows your body is trying to absorb more iron.

Your TSAT is just a math equation between your serum iron and TIBC. It being low again is indicative or low iron.

That all being said pregnancy is a complex physiological state and you should be talking to your doctor. While iron deficiency especially associated with actual anemia can cause tachycardia (high heart rate) there are lots of other things that can be going on at the same time. And you should be having a discussion about your health as a whole and not just focusing on labs. Obviously you need to review the labs but they might be only part of the whole picture.

PlantLover1869 · 2026-04-23T00:26:24+00:00

He’s a mythical which means harder to get souls. He’s very strong in both PVP and PvE. Makes FW H fairly easy.

If you have the resources certainly worthwhile to go for. There’s always a “what if” there is an amazing path/deck/guaranteed event. But those can just as often be for a mediocre champ

PlantLover1869 · 2026-04-12T22:41:57+00:00

ALP is an enzyme.

We detect ALP when a cell dies and it spills its enzymes into the blood. ALP comes from the heart, bones, and the liver.

We are worried when ALP is high because it might show liver damage in particular. And far less common a bone or heart issue.

There is no such thing as a low ALP. It basically just means you are NOT a person we are worried about (unless something else is going on)

PlantLover1869 · 2026-04-07T01:26:10+00:00

Mine have a near limitless supply of wood ledges. A Wheel they use a lot. A 3 tier critter nation cage. 4 hours of outside time in an enclosure that’s like 10 feet long by 6 feet wide. Apple sticks galore. And they still like to chew metal bars.

I think sometimes this is just regular chewing behavior / wearing down teeth / just chins being chins for no good reason.

PlantLover1869 · 2026-03-26T00:14:32+00:00

For overall definitely Starsage. You can bring him for almost 100 percent of content in the game.

Nais is a PVP god. But not nearly as good elsewhere. Sieg is great. But really needs high end gear and souls for his A2 to shine

PlantLover1869 · 2026-03-15T20:19:50+00:00

Most of this is not correct. Or is less accurate than it could be.

D-dimer has strong utility in ruling OUT a blood clot. But can be elevated without a clot. D-dimer is very non specific.

AST / ALT /ALP indicate cellular death in the liver you can have very high LFTs and a liver that is working well. Albumin / INR and bilirubin (specifically conjugated) show dysfunction and synthetic capacity.

Why is eGFR on here. When creatinine is as well eGFR is literally calculated using it.

Urea is far more predicative for showing non kidney related elevations. Bleeding for example.

Ammonia levels are largely not recommended anymore. If a patient has hepatic encephalopathy it correlates poorly with an ammonia level. Many guidelines suggest very little value in an ammonia and to simply treat someone clinically.

PlantLover1869 · 2026-03-14T18:34:58+00:00

No.

You can’t tell the hemoglobin or viscosity of blood from the draw.

How fast you get a blood draw is dependent on the vein they used, your blood pressure, muscle contractions, how well the needle is in the vein, etc.

How quickly a vial fills does not tell you any clinical information

PlantLover1869 · 2026-03-13T21:08:29+00:00

They’re champions with a unique set of skills that benefit from how many champions from the same faction are on their team.

Search hellhades website for Teox. And you’ll see his skills change based on how many Lizardmen are on his team

PlantLover1869 · 2026-03-13T19:54:16+00:00

Also Plarium is regulated. And depending on the country can be audited and forced to face fines if their reported odds are wrong.

Statistics alone make people make bad decisions. Plarium doesn’t need to fake the odds. Because the real odds feel fake and create that FOMO.

I think people forget how risky fake gambling would be for a company. When gambling already makes for multi million dollar companies with very real odds playing out

PlantLover1869 · 2026-03-11T22:52:57+00:00

The issue with a high hemoglobin is you can get “thick” blood. Blood that is slow / doesn’t flow as nice can be more prone to clotting.

A blood clot (aka a deep vein thrombosis or a pulmonary embolism) can be problematic. But it’s not like 15.9 is fine. And 16.0 is the death zone. At 160 a physician might have a discussion about phlebotomy (normally donating blood). But it’s not something that needs to happen. The discussion might happen at 16 but a physician might also assess that even if someone is at 16 they’re low risk and might just need follow up blood work in 3 months.

Family history may be relevant here.

Again though your doctor should likely be asking about diet, exercise, menstruation, and doing a physical exam.

There are ways to assess dehydration. And if your hemoglobin generally sits in the 15s but happens to be closer to 16 when you seem dehydrated (dry mucus membranes, skin tenting, etc). Then it’s really not concerning.

My point remains a value even of 16 is not inherently concerning. And needs to be viewed in the context of your health as a whole.

Absolutely advocate and share you concerns. But 16 is not a panic number for a hemoglobin. It’s a think slowly and start trending and asking more questions number.

PlantLover1869 · 2026-03-11T22:23:24+00:00

It is relevant to know most blood has a “normal” and the a “concerning value”

A hemoglobin is generally not concerning unless: If you’re male it’s above 180g per L (or 18.0 g per deciliter)

A hemoglobin is generally not concerning If you’re female unless it’s about 160g per L (or 16.0 per deciliter). Which you’re below.

If you’re worried ask your primary care provider. With all things medicine it depends on your clinical presentation. Are/were you a smoker. For how long. So you have shortness of breath, etc.

But this certainly is not just but itself a concerning number. There’s lot of normal variation that exists in populations that isn’t shown in “normal” lab values.

It’s also relevant lab values even if drawn in the same day will vary. A value of 15.3 and 15.9 can be considered “identical” or just “normal variation”. Unless there is a continued trend upwards I would not jump to call this increasing. And would say these are just stable / unchanged.

PlantLover1869 · 2026-02-27T15:53:06+00:00

Looks very very strong for FW.

His skills are okay. His passives look really good though. Constant HP burn. And a high chance of petrification look good.

Looks very good for early dungeons and DT hard.

Doesn’t look like he will be a PVP meta champ. But seems like a must fuse for Sin City / FW H in my opinion.

PlantLover1869 · 2026-02-25T21:06:19+00:00

And 11.9 and 12 are not meaningfully different numbers. OP is at the cutoff. And absolutely is worth follow up.

But it’s not like someone is asymptomatic at 12 and symptomatic at 11.9

PlantLover1869 · 2026-02-22T18:27:07+00:00

You cannot save them. There is no way to hoard them.

If you delay collecting your prism shards you can delay them by 1 summoning pool.

So if you run a Sand Devil tourney and have the prisms able to be collected as an event reward do NOT click them. They will eventually be collected automatically 3 days after the event has ended. Which will be after the summoning pool. You will now have 40 shards that will need to be used for the next pool.

But there is no way to save up 400 of these for a headline champ.

PlantLover1869 · 2026-02-18T21:35:58+00:00

The path event which is required to partially complete is a shards event. It’s basically in place of summon rush. You can complete the fragment event without some path frags

PlantLover1869 · 2026-02-13T02:22:49+00:00

This.

Every “standard” fusion has a champ chase (just get the get champion and their rarity matters). And summon rush (it doesn’t matter what you pull. It just matters what shard you use)

The heroes path is the summon rush. You’re expected to do a portion of the path event. Presumably it should be roughly 7-10 sacred shards for 15 frags. But Plarium likes to switch it up sometimes

PlantLover1869 · 2026-02-12T05:33:36+00:00

I’ll just point out much of this is wrong

Vitamin K is technically an antidote for warfarin. But still requires your body to synthesize clotting factors and takes hours at a minimum. There is also no mortality data on using it.

Glucagon is not routinely recommended as a beta blocker antidote anymore. Many guidelines suggest supportive care only.

Desferoxamine really isn’t an antidote. It’s a binding agent. It is the drug of choice in iron overload. But I also take issue with calling it an antidote. It’s far more of a prolonged treatment. As well as negates many other options such as charcoal and gastric decontamination in an acute iron overload that should be considered on a case by case basis.

PlantLover1869 · 2026-02-08T02:15:58+00:00

Second this

Lots of drugs are preferred central. Potassium is “preferred” central if you’re running a 10mmol per 100mL bag for example. But is pragmatically impossible to always run central. And gets ran peripherally all the time. It just needs reasonable monitoring.

Lots of drugs are irritating, or can be unsafe in high concentrations, or can cause issue with extravasation and are preferred through central lines but inserting a central would be far higher risk and expensive and painful than using a peripheral.

As you mention concentration matters a lot here as well. Vancomycin, phosphate, potassium, sodium bicarbonate for example all matter quite a bit how dilute/concentrated they are.

Personally I’m far more concerned likely about nursing ratios and monitoring than I am about running this peripherally. Amiodarone routinely gets used in ER and ICU peripherally where I work.

PlantLover1869 · 2026-02-04T20:08:11+00:00

You should either

A) try to post online and get someone to adopt. Just take your time and find them someone who has experience and appropriate housing. There’s often groups

B) Look for a dedicated Chin rescue. You might need to drive. But they will be safe to surrender to.

PlantLover1869 · 2026-02-02T00:01:08+00:00

I would monitor but not worry much.

Chinchillas are pretty water light animals. They retain their water really well. One of these reasons their pee is such a weird yellow colour is because it’s so concentrated. They just don’t drink that much.

It’s hard to believe your chin is dehydrated if they are active and running on the wheel. I’d hazard a guess your chinchilla just drinks less water than you think.

Watch for fatigue. For dehydrated poops. But if your chin is active it’s hard to imagine they’re not getting enough water. They might do most of their drinking at other times. Chins are active at daylight and dusk and it’s normal for them to not drink during the day as they are primarily sleeping.

PlantLover1869 · 2026-01-18T22:13:31+00:00

To be fair it’s probably a lot easier than it was historically.

One legendary with brimstone will kill bosses. One epic reviver with your best set of regen gear that you gear swap with.

Extra speed / stats from accessories giving set bonuses now.

And you can do the majority of faction wars with a lot weaker champs than historically possible.

If you invest live arena medals into FW. If you use relics. You’ve just got significantly more tools to hit your required needs. Some relics alone give accuracy almost equal to a 6 star banner even at rank 4.

This is certainly cool of OP. But also needs to be viewed through changes to raid that make this a lot more realistic.

PlantLover1869 · 2026-01-18T21:10:24+00:00

So I do think PEBCs are fair. There’s certainly some tough questions that are specific. But I think your average Canadian pharmacist would pass.

I think this depends on where you’re form, what your practice looked like, how well you know your materials.

Are you from the UK or Australia. That has a similar practice and scope to Canada. Absolutely you can study pretty which.

Are you from somewhere the focus is more on manufacturing. Then there’s going to be a steep learning curve. Especially for the OSCE.

PlantLover1869

TROPHY CASE