if anyone had iron deficiency anemia and overload at the same time they would need to take the possibility of dysregulation very seriously... to me it seems like an absolute no brainer..
this page starts off on the wrong foot (there are no "red blood cells in hemoglobin") but I think it would be interesting to follow up on this poorly worded snippethttp://www.irondisorders.org/iron-overload-with-anemia
"Patients who have this combination of too much and too little iron are individuals with cancer, acquired or inherited disorders that result in faulty blood cell production or blood cell management. Some of these diseases are thalassemia, sickle cell disease, sideroblastic anemia, enzyme deficiencies, bone marrow problems, iron-transport protein problems."
mention of acquired disorders, enzyme deficiencies and iron transport protein problems bring me straight back to my old friend zinc.. serum levels in healthy controls tend be in the high teens (eg around 18-19 umol/L)... whenever I take iron supplements I get symptoms which I suspect are linked to the iron driving zinc levels down (the interactions are established in research, but in this specific case I have no personal lab testing to back up exactly what is happening with me)
oh celeste you love vitamin C
it will help you get that good whole food iron that you and your daughter both need.. and again those heme sources (plus possibly pumpkin seeds) will be the best for working on iron zinc balance. I am really too busy to be on here today, so will read your pubmed links when I have some time
my approach: no meds so far - just nutrient-dense anti-inflammatory whole foods, and supplements where needed
info: www.whfoods.com, www.nutritiondata.com