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THe cold hands can also be a symptom of anemia. I used to have cold hands and feet all the time but once I got started on the Iron and got my level up I noticed that my extremeties were less cold.
Iron deficient anemia means that there are fewer red blood cells that carry Iron. When that happens the red blood cells aren't capable of carrying oxygen either. This means that your body essentially starves for oxygen and it will give the oxygen that it does have to the most important organs leaving the extremeties without, resulting in the cold. The lack of oxygen is a reason for the fatigue as well. When your Dr does a careful check for anemia they will examine the actual red blood cells. The ones that have Iron in them will be larger than the ones without. The number of cells that are larger are the ones they count to get your Hemoglobin count. In some types of anemia the cells will actually be deformed but in just iron deficient anemia you will have smaller cells.
At one point when I had needed some blood transfusion for another reason they gave me an Ferrous Gluconate (Iron) suppliment to take home that was 50mg daily. I noticed no problems with taking that much ever even months later. It might help to take more to begin with then taper it off once you start to feel more energetic. I would suggest calling you Dr and asking how much is too much Iron to take. Or you could even ask your pharmacist - they should be able to help you better than we can.
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