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Microcytic anemia is a condition where red blood cells are smaller than normal, reducing the blood's ability to carry oxygen throughout the body. It is caused by iron deficiency, chronic disease, thalassemia, or other conditions that impair hemoglobin production. The Complete Blood Count (CBC) is the most important test for diagnosis because it measures mean corpuscular volume (MCV) to identify small red blood cells.
Microcytic anemia is caused by conditions that impair hemoglobin production, leading to smaller red blood cells. The most common cause is iron deficiency, which occurs when your body lacks sufficient iron to produce hemoglobin, the protein in red blood cells that carries oxygen. Other causes include thalassemia (inherited blood disorders affecting hemoglobin production), chronic diseases like kidney disease or inflammatory conditions, lead poisoning, and sideroblastic anemia where the body cannot properly incorporate iron into hemoglobin.
The Complete Blood Count (CBC) is the most important test for microcytic anemia because it measures mean corpuscular volume (MCV), which indicates the average size of your red blood cells. A low MCV (typically below 80 femtoliters) directly confirms that your red blood cells are smaller than normal, which is the defining characteristic of microcytic anemia. The CBC also measures hemoglobin levels, red blood cell count, and other markers that help determine the severity of your anemia and point toward the underlying cause, especially iron deficiency.
You should get tested if you experience persistent fatigue, weakness, pale skin, shortness of breath, dizziness, or cold hands and feet. Testing is especially important if you have heavy menstrual periods, are pregnant, follow a vegetarian or vegan diet, have digestive disorders affecting nutrient absorption, or have a family history of thalassemia or blood disorders. Early detection through blood testing allows for prompt treatment to prevent complications and restore your energy levels.
What this means
Your hemoglobin is slightly below the optimal range, indicating mild anemia. This means your blood isn't carrying quite enough oxygen to your body's tissues, which can explain feelings of fatigue, weakness, or occasional shortness of breath. With proper nutrition and possibly supplementation, this typically improves within a few months.
Recommended actions
Increase iron-rich foods like lean red meat, beans, lentils, and dark leafy greens
Pair iron sources with vitamin C foods (citrus, tomatoes, bell peppers) to boost absorption
Consider an iron supplement after consulting with your doctor about the right dosage
Retest in 8-12 weeks to monitor improvement after dietary changes
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