Skip to content


    Exciting News for WebMD Members!

    We've been busy behind the scenes building new message boards for you. You'll have new and easier ways to find messages, connect with others, and share your stories.

    And, this will all be available on your smartphone or other mobile device!

    What Do You Need to Do?

    The message board you're used to will be closing in the coming weeks. While many of your boards will be making the move to our new home, your posts will not. Want to keep a discussion going? Save posts you want to continue (this includes your member profile story), so that you can re-post them in the new message boards.

    Keep an eye here and on your email inbox, we'll be back in touch soon to give you all the information you need!

    Yours in health,
    WebMD Message Boards Management

    Includes Expert Content
    singingbear posted:
    Just received my bi-monthly lab results and a call from the docs office. My RBC, HGB, and HCT have been falling slightly with each test. Could taking a calcium supplement with my meals effect my iron absorption? Could it be a side effect of the methotrexate? How else can RA and the treatment result in anemia?

    Also,could a RBC of 3.74, HGB of 10.7 and HCT of 34.4 be low enough to explain moderate to sever fatigue? Could this be why I find it so hard to stay awake at work?

    Have an order for iron and ferritin test in the morning.
    Scott Zashin, MD responded:
    The most common cause of anemia in RA is active disease. the body has enough iron, but due to inflamation, it is not utilized well. NSAIDS such as advil can cause bleeding from the gastointestinal tract Methotrexate or calcium is not a common cause of anemia.
    singingbear replied to Scott Zashin, MD's response:
    My iron and ferritin test came back normal. I am now in the process of completing a fecal occult blood test.
    My question now is if the blood test comes back normal and my iron is normal how is the anemia usually treated?

    Helpful Tips

    help with methotrexate side effectsExpert
    I recommend all my patients on methotrexate take at least 1 mg of Folic Acid daily to help decrease the risk of side effects. In those ... More
    Was this Helpful?
    30 of 33 found this helpful

    Related Drug Reviews

    • Drug Name User Reviews

    Report Problems With Your Medications to the FDA

    FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.