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selketine--Back away from the ledge!! You are going to be fine. You are considered moderately anemic at a 8.5 Hgb, you would not need a blood transfusion until your Hgb was a 7, so you caught it in time! I had almost exactly the same numbers as you. One of the reasons that you are not experiencing such horrible anemia symptoms is probably because anemia symptoms are proportional to the rate at which the anemia develops. Meaning that it takes a long time to deplete the ferritin stores (iron in bone marrow and organs) usually years, and your body compensates for the loss, over time it adjusts. If you had a major bleed you would feel it much more. If you are having clots you are losing more blood than it appears. I know this from my experience 2 years ago January 19th. My Hgb was 8.5 with a 2 ferritin and MCV of 65 and RDW of 19.2 my numbers looked a lot like yours. I too felt fine until I was DX'ed and started on supplements that made me very ill, but I am another story. I did suffer from PICA for ice, but didn't know it was anemia, this went on for a while, too long. I had an Endometrial Ablation to stop the heavy periods and they found 7 polyps that was the cause of the clots and bleeding. I now only spot and it's the best thing that I have ever done for myself. This was only part of the problem though because now they are saying that I am having malabsorption due to PPI's for GERD and this was told to me a year after the anemia began because my ferritin wasn't absorbing well. So, you can have more than one reason for anemia they just have to find it/them and it's not always easy. Some of us have to stay on iron supplements for the rest of our lives.

I also had a colonoscopy and endoscopy which is the norm for anemia especially at our ages. I would think that it would be rather rare to have a colon cancer at your age although we know that it is possible, just not probable. The stool test only show intermittent bleeding so it is used more as a tool than anything else. You still need further test to R/O many things.

I didn't see a B-12 and folate test result, if you haven't already you have to have these tests because they can be a part of the anemia. Sometimes the doctors don't test for these and you may need to ask for them.

Something that my doctor told me about my anemia was that the amount of blood that you would have had to lose to get this low, you would have to know it because your Hgb is rather low. Hope this made you feel better. Keep us posted. FLFLOWERGIRL:)

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