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Losing weight without trying can be a concern that there is a slow growing cancer somewhere. (usually the lung). Having a blood iron going down is also a warning sign.
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My oncologist was worried too (I'm at my two-year mark for good checkups after having uterine cancer) and he ordered CT scans of chest, mid, and lower abdomen. He also ordered a CA-125. Nothing. Doesn't mean I'm in the clear, but what else can he do? I guess we could run some blood work for iron like you said.
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But it can also mean that you are eating sensibly, and avoiding the "terrible" things like alcohol and sugar.
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I don't think so. I've never lost an ounce in my life without very strict calorie control, no matter what I eat. Until now. Believe me, I love getting on the scale and seeing that I dropped another 2 lbs., but it's a little scary too.