Hello Vishal and thanks for writing in at HCM
First of all thanks for giving complete and detail history of the patient which is required by any physician for a better advise. I have studied your mail in detail. The cause of anemia are many, but in your case and the detail provided by you it can be due to:
1. Kidney disease related anemia: S. creatinine
is 1.6 which is higher than the normal value. Kidney releases Erythropoietin
which is required for formation of RBC's.
2.May be due to anticoagulant drug
your are taking, which might causing slight bleed not see by naked eyes like in urine, stool, from gums while brushing, bleeding from ulcers etc. Try to investigated it by urine R/E, stool for occult blood, Done your INR test which will confirm your blood thinning and helps in managing your dose of anticoagulants.
3. As you are taking all the supplements which cause anemia so it is not nutrition deficiency anemia.
4. Other causes to be ruled out for anemia are bone marrow
related anemia, G6GD deficiency anemia or Hemolytic anemia
Please consult your medicine doctor and get rid from it.
Dr. Dinesh Kumar Bhatia
Health Care Magic