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Have low hemoglobin. Trying to lose weight. What can be done?

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General & Family Physician
Practicing since : 2012
Answered : 1038 Questions
Dear Doc,
My fiance (Ms.Sarita) has low haemoglobin. The report shows its 7. She is a lecturer in a college. She travels 16kms to her college on her activa (Bike).
She has joined Gym for workout. From college she goes to gym. And does workout for an hour. She is 28yrs old. Height is 5'3" and weighs 56kgs. She want to reduce her weight. She has started to have dates (4-5 nos). She has 2-3 coffee in a day. Half a roti for breakfast with tea. 2 rotis for lunch with vegetables. and 2 roti and little rice for dinner. Please let me know What needs to be done in such situation to make her healthy?
Posted Sat, 8 Jun 2013 in Medicines and Side Effects
Answered by Dr. Achuo Ascensius 2 hours later
thanks for the query.

A hemoglobin level of 7g/dl is considered a moderate anemia and its a serious condition that needs to be address because below 7 it will be a severe anemia.

The most common type of anemia is results from inadequate intake of dietary iron. This is likely to be the cause of anemia in your fiance due to the fact that she is cutting down her feeding and her meals are not XXXXXXX in iron which is needed for red blood cell formation. More so, she is a mature woman with monthly loss of blood/iron through menses.

I do not know what test was done to detect that she has low hemoglobin or anemia. If it was a full blood count that was done then fine but if it was a rapid test using a rapid hemoglobin counter that gives just the hemoglobin value and does not give other parameters, it will be necessary to do one. Using a full blood count results, an idea could be obtain to know if its iron deficiency or due to other causes.

Effective treatment will entail treating the underlying problem; if its iron deficiency, she will need iron supplement and to be on food XXXXXXX in iron. If its due to other causes, in addition to the food supplementation and meals XXXXXXX in iron, the underlying cause will need to be treated.

She needs to be on iron supplement which your doctor could present and on meals XXXXXXX in iron such as;
-canned sardines
-iron enriched cereals

Hope this answers your query. If you have further query, i will be glad to help.
Best regards
Above answer was peer-reviewed by
Follow-up: Have low hemoglobin. Trying to lose weight. What can be done? 59 minutes later
Should She continue her workout in the Gym?
Answered by Dr. Achuo Ascensius 15 minutes later
thanks once more for the query,

With a low hemoglobin level, she will get more fatigue and brain stress due to low oxygen supply. It will be better to raise her hemoglobin level to at least 10 before continuing exercises. Iron supplement of at least 150mg a day together with vitamin B12 ( most tablets contain 50mg of iron or so; 1 tablet three times a day) for a month would greatly improve on the hemoglobin level.

But most importantly, different causes of the low hemoglobin or anemia have to be investigated and ruled out and if there is another cause of the low hemoglobin other than iron deficiency, it would have to be treated along side.

Hope this answers your query. If you do not have further query, you could close the discussion and rate the answers.
Best regards
Above answer was peer-reviewed by
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