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You might want to get checked for an enzyme deficiency called G6PD deficiency. They used to think it only occurred in males, but newer studies and DNA testing have shown that it's possible for females to also be affected and not just carriers.

Most people with G6PD deficiency never know they have it unless they are exposed to foods, chemicals or medications that can cause oxidative stress. The red blood cells are destroyed rapidly and you can have a severe sudden drop in hemoglobin. The main triggers include fava beans, mothballs, quinine-derived drugs. If you do a search you'll find lost of information.

It's good to get testing after an episode of hemolysis like you experienced so that you can avoid the contraindicated substances in the future. The blood test needs to be done at least 6-8 weeks after the drop in RBCs...newer red blood cells have higher levels of the enzyme and will skew the results.

Jan





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