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My wife just had a blood test last week and the result is not quite good. Hemoglobin reading is 4.2. What are the risk of having results like this?

ddk3rd (Male, 32)

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Below serves as a reference range for hemoglobin:
Normal hemoglobin values are:
• Adult: (males): 13.5 - 17 g/dl
• (Females): 12 - 15 g/dl
Obviously, the result of your wife’s hemoglobin is lower than the normal value, so you have to consult again your doctor’s advice as to what would be the next step, the doctor may want to request another laboratory exam or any suggestion from him to find out the disease and its underlying cause.
Blood loss and bone marrow suppression decreases total RBC count and therefore lower total hemoglobin content. Hemoglobin levels are also lowered in patients who have abnormal types of hemoglobin or medically termed as hemoglobinopathies. Red blood cells with abnormal types of hemoglobin are usually fragile and damaged or destroyed easily in the vascular system. Decrease of hemoglobin, with or without an absolute decrease of red blood cells actually results to symptoms of anemia. Anemia has various causes, although iron deficiency and its resultant iron deficiency anemia are the most common causes known.


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5min Life Videopedia







Iron Deficiency

BACKGROUND

Symptoms

Though the normal range for the iron blood test will tell you if you are in the “normal range,” low iron despite normal lab results (see the problem with lab testing) can cause many problems, including:

  • Infertility
  • Fatigue
  • Pain
  • Immune dysfunction
  • Anemia
  • Poor memory
  • Hair loss

Lab Testing

There are 2 key tests for iron deficiency:

Ferritin level

The doctor will tell you it is normal if it is over 9. However, it should be at least 40 and for treating hair loss, at least 100 µg/L.

Iron percent saturation

Get it over 22%.

If both tests are ABOVE the upper limit of normal, be sure your doctor checks for a genetic iron EXCESS called hemochromatosis. This is very simple to treat preventively, but can kill you if missed.

TREATMENT

Recommended Supplements

Iron and vitamin C

A good dose of iron supplement is 25-35 mg a day. Take it with vitamin C and while on an empty stomach (bedtime is fine). Taking it every other day, or 3 weeks on and 1 off, works best.

Cautions

May cause black stool, which is normal (not foul-smelling — foul-smelling black stool suggests bleeding).

Do not take iron within 2 hours of thyroid hormone.

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Mechanisms Accounting for Unexplained Anemia in the Elderly
National Institute of Aging, Clinical Research Unit - Baltimore, Maryland


Lenalidomide With or Without Epoetin Alfa in Treating Patients With Myelodysplastic Syndrome and Anemia
Greenebaum Cancer Center at University of Maryland Medical Center - Baltimore, Maryland



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FDA Approved Drugs


FDA approved drugs for the treatment of Anemia
epoetin alfa (generic)



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multivitamin with iron (generic)







oxymetholone (generic)


pyridoxine (generic)





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