okay i'm using the table on wikipedia for this so not perfectly accurate numbers - click the link and check out the table, you'll see what i meanhttp://en.wikipedia.org/wiki/Reference_ ... lood_tests
Iron Binding Capacity: Transferrin 205 mg/dL - normal range looks to be around 200-300 so that does look on the low end of the spectrum
Iron, SRM 32 mcg/dL - total serum iron is all over the place for women, more than likely d.t. menstruation.. 30-170 or so. for men it's more like 70-180. again pretty low.
Total Iron Binding Capacity 287 mcg/dL - TIBC looks like around 250-450, so again, yep on the low side.
check this out - the characteristics of iron status in chronic disease... i'm extra curious as to your ferritin number nowhttp://labtestsonline.org/understanding ... /test#what
oh and one more thing
Serum Iron (SI)/Total Iron Binding Capacity (TIBC) x100 = Transferrin Saturation (TS) %
32/287x100 = 11% that is also low.
full text article on anemia of chronic disease - http://www.med.unc.edu/medclerk/medsele ... nemia2.pdf
it is a dysregulation problem so supplementing is not going to target the root of the problem. iron dysregulation is a known issue when zinc levels are out of whack though.
this article is on iron deficiency anemia not specifically anemia of chronic illness but the point is, consider zinc too.
Increased serum copper and decreased serum zinc levels in children with iron deficiency anemia http://www.springerlink.com/content/221564100305088g/
Serum zinc levels were lower in the patient group (109 ± 59 Μg/dL) than those of control subjects (135 ± 56 Μg/dL) (p = 0.017).
so with your zinc levels, you match the anemic kids in the study - and look at those serum zinc levels in the healthy controls! average 135 converts to 20.5 umol/L! that's a new one on me.
another study - again they're talking about kids, but this is another article which speaks to supplementing zinc when iron is low (although they had again iron deficiency anemia, not anemia of chronic diease
Effects of separate delivery of zinc or zinc and vitamin A on hemoglobin response, growth, and diarrhea in young Peruvian children receiving iron therapy for anemiahttp://www.ajcn.org/content/80/5/1276.short
"Adding zinc to iron treatment increases hemoglobin response, improves iron indexes"
and then here's a bunch of links to other discussion on zinc, the uric acid and glutathione connection, and iron dysregulation (by the way i learned recently that selenium status is also correlated with glutathione levels)general-discussion-f1/topic10019.html#p90335
and a relevant study link
Zinc Deficiency-induced Iron Accumulation, a Consequence of Alterations in Iron Regulatory Protein-binding Activity, Iron Transporters, and Iron Storage Proteinshttp://www.jbc.org/content/283/8/5168.full
anyway. that's enough about iron for now
on to the vitamin E - looks like optimal serum tocopherol would be around 12-20 mg/L (using that same huge wikipedia chart) so you appear to be on the low side for that too.
but DON'T supplement alpha tocopherol. instead, boost vit E rich foods like raw sunflower seeds and dark leafy greens http://www.whfoods.com/genpage.php?tnam ... t&dbid=111
if you do supplement, choose an E8 complex with natural ratios of all 4 tocopherols and 4 tocotrienols.
my approach: no meds so far - just nutrient-dense anti-inflammatory whole foods, and supplements where needed
info: www.whfoods.com, www.nutritiondata.com