Hemoglobin 146 in women. High hemoglobin in women - what does it mean and what should be done

Hemoglobin is an important component of the blood, so its decrease or increase indicates disorders or serious diseases. If a woman has a high hemoglobin of 150 or more, she needs to undergo a comprehensive examination that will help determine the cause of the pathological indicators.

Causes of increased hemoglobin

Hemoglobin in women can reach 146-153 g / l for various reasons, the main of which are:

• Pregnancy in the early stages;
• Cardiological pathologies and chronic long-term lung diseases with respiratory failure;
• An overdose of drugs containing iron or vitamin B12, for example. prescribed during pregnancy or taken without a doctor's prescription;
• Bad habits and alcohol abuse (due to alcohol and tobacco, the level of red cells in the blood may increase);
• Prolonged vomiting or loose stools as a result of poisoning or gastrointestinal diseases, which lead to dehydration of the body and an increase in hemoglobin levels;
• Blood diseases, bone marrow malfunction and malignant tumors;
• Abuse of diuretics, including in the composition of teas for weight loss;
• Taking medicines and antibiotics that are not prescribed by a doctor or cause an allergic reaction, due to which metabolism and blood clotting are disturbed.

Elevated hemoglobin of 146 g/l or more may be due to the fact that sufficient oxygen does not enter the blood due to an inactive lifestyle. on the contrary, excessive physical activity.

It is important to pay attention to bad habits and devote more time to physical exercises, which will help restore normal hemoglobin levels.

Molecular structure of hemoglobin

Symptoms of high hemoglobin

Hemoglobin with an indicator of 150-155 is manifested by distinctive symptoms that can disturb in each individual case in different ways: someone has less, and someone has more intense. Signs of pathological changes in the blood composition are manifested in a complex or separately:

• severe dizziness, weakness, nausea, drowsiness, which may occur despite the fact that the body has had enough rest;
• dryness in the mouth and thirst, due to which the patient cannot drink;
• a decrease or a sharp increase in blood pressure, even in adolescents, which is manifested by weakness and headaches;
• red spots on the skin, the color of which changes in general to a reddish tint;
• pain in girls during the menstrual cycle, long and painful periods.

Such symptoms can be confused with other diseases, so it is recommended to consult a doctor who examines and gives an opinion. He will definitely appoint a general blood test, which will help determine exactly what the level of hemoglobin is, and what is the reason for its sharp increase.

Hemoglobin 149: what is dangerous?

If the indicators increase, this can lead to disturbances in the body. If you do not figure out what the reason is in time, and do not take up treatment, then this threatens:

• the fact that the blood circulation process is disturbed and problems with the blood supply to tissues and organs can develop;
• the fact that blood clots clog the arteries, and this threatens with heart attacks and strokes (due to the fact that oxygen does not enter the heart along with the blood, resulting in oxygen starvation);
• hemoglobin 150 in older men can provoke disorders in the genitourinary system (cause a weak erection and other pathologies);
• hemoglobin 150-154 in a female child can cause a deterioration in the blood supply to the brain, kidney and liver pathology, and an enlarged spleen.

Elevated rates are dangerous and can adversely affect the health of the body as a whole, so you need to urgently consult a doctor and take treatment .

Hemoglobin 152-160 in women: what to do and how to treat?

What is hemoglobin 149 associated with in a woman, what to do, and how to treat such a condition? Therapy is possible, but you need to consult a doctor when the symptoms have just begun to bother. First of all, the following is recommended:

• restore a normal diet and follow a diet: refuse to take meat, beets, milk, cereals, sweet and carbonated drinks;
• introduce more seafood, fruits, vegetables, sour cream, legumes and kefir into the menu;
• give up bad habits: smoking, alcoholic beverages and drugs;
• lead an active lifestyle and try to move more, play sports and exercise.

If a hemoglobin of 147 g / l is detected in a woman and above, then doctors usually prescribe the following treatment:

• blood thinners: Aspirin, Trental, Cardiomagnyl and Curantil;
• the use of leeches, which can thin the blood and reduce iron levels;
• the use of salads with herbs that will help reduce hemoglobin and restore the normal circulatory process: parsley, dill, celery and more.

Please note that the treatment is assigned to each individually, so before taking it, you need to consult with your doctor.

To learn more about high iron levels and the dangers it poses, check out this video:

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Characteristics and significance of the analysis for the content of glycated hemoglobin

The qualitative level of blood composition is constantly changing over the course of life. A special table of hemoglobin norms in women by age will help prevent the appearance of pathological indicators in the analysis results.

Controlling changes in the blood count is one of the simplest and most affordable ways to prevent the development of many diseases in the female body.

Hemoglobin is an iron-containing blood pigment found in red blood cells that transports oxygen to tissues. By structure, hemoglobin is classified as a complex protein, the core of which contains iron, which binds oxygen molecules. It is hemoglobin that colors blood red.

After transferring oxygen to tissues, hemoglobin attaches carbon dioxide and transports it to the lungs. Thus, this blood particle should be regarded as an element that provides the main transport functions of blood - nutrition and respiration.

Changes in hemoglobin indicators indicate a violation of the oxygen-transporting function, which leads to the development of various diseases - anemia, renal failure, hypoxemia and ischemia.

Under the influence of chemicals, carbon monoxide and an increase in blood sugar levels, hemoglobin acquires pathological forms that can only be detected through analysis.

How to determine the level of hemoglobin

To find out the level of hemoglobin, laboratory tests of blood samples taken from a finger are used. During the procedure, the number of red blood cells and the presence of abnormal cells are determined.

Blood sampling is performed on an empty stomach and not earlier than 8 hours after the last meal.

The norm of hemoglobin in the blood in women by age: table

Due to the specifics of the body, the standard indicators of iron in the blood in women are lower than in men, but higher than in children, and is 112-150 g / l.

In special periods of life - during pregnancy or menstruation, the composition of the blood changes, but this is not considered a sign of abnormalities if the test results correspond to the accepted norm.

Hemoglobin norm after 30 years

Blood composition indicators change with age. In women under the age of 30, the norm of hemoglobin in the blood reaches the maximum possible level. Whereas after overcoming the 30-year milestone, a gradual decline in indicators begins.

Norm after 40 years

The process of reducing hemoglobin is observed throughout a woman's life. Therefore, after 40 years, the hemoglobin norm in women is already 5 g / l lower than in thirty-year-olds. Changes in the composition of the blood become especially noticeable closer to the age of 50, when women begin the stage of menopausal restructuring of the body.

Hemoglobin after 50 years

In women after 50 years, the level of hemoglobin, as a rule, falls below the established norm. This is due to the instability of the hormonal balance characteristic of menopause. A woman becomes more emotional, and her stress resistance is noticeably reduced, which affects the composition of the blood.

During menopause, in order to raise the level of hemoglobin to normal, doctors recommend taking drugs that normalize hormonal levels and adjust the diet with an emphasis on healthy vitamin and iron-containing foods.

The exceptions are products that inhibit the absorption of iron:

• milk;
• chicken protein;
• bread, pasta, cereals;
• hard drinks, including coffee and tea.

In addition, you should increase your water intake.

Hemoglobin norm after 60 years

For the female body after 60 years, the completion of hormonal changes and a slowdown in metabolic processes are characteristic. Since the need for nutrients is no longer as high as before, the level of iron in the body gradually drops.

To normalize the blood composition of the elderly, it is necessary to follow a special diet aimed at increasing iron-containing foods in the daily diet.

Signs of a low hemoglobin level

A decrease in the amount of hemoglobin in plasma indicates a violation of metabolic processes and the development of anemia. Such conditions are considered pathological and require correction.

A decrease in the number of blood cells is accompanied by a deterioration in well-being.

Most often, pathological changes indicate:

• sleep disturbances, insomnia;
• pale skin;
• dry mouth;
• dizziness;
• arrhythmia;
• migraine;
• exfoliating nails;
• abundantly falling out, brittle and dry hair;
• increased fatigue;
• caries;
• dyspnea;
• dry lips and cracks at the corners of the mouth.

Often, anemic processes are manifested by a loss of smell and taste, especially in pregnant women.

If deviations from the norm are insignificant, special drug treatment is not required, it is enough to observe the regime of work and rest, ensure good sleep and reconsider the attitude to nutrition and bad habits.

Causes of low hemoglobin

Despite the fact that anemia is an independent disease, doctors tend to regard its appearance as a signal of the presence of other health problems.

Among the main causes of deficiency of blood cells:

• lack of B vitamins and iron-containing foods in the diet;
• bleeding, including ulcerative, menstrual, postpartum, postoperative, and donation;
• dysbacteriosis;
• infectious, autoimmune and hereditary diseases;
• release of insulin during tumor processes in the pancreas;
• hypothyroidism;
• hepatitis;
• stress;
• drug abuse.

In addition, a decrease in the number of red blood particles is typical for women who follow diets for weight loss.

Treatment for low hemoglobin

It is possible to improve the blood formula with low hemoglobin, thanks to an integrated approach to treatment. Along with drug treatment, it is necessary to change the diet and lifestyle.

Drug treatment involves taking iron-containing drugs - Aktiferrin capsules, Ferri syrup, as well as the combined Ferrofolgamma and Irovit products. The choice and prescription of drugs can only be carried out by the attending physician. The average course of medication is two weeks.

Therapeutic diet involves the introduction into the diet of foods that increase the level of iron in the body, or improve its absorption. All types of vegetables deserve special attention, as well as apples, apricots, pumpkins, seaweed, pomegranates, herbs, nuts and citrus fruits.

The list of the most useful animal products includes all types of meat and seafood, liver, kidneys and chicken yolks.

In addition, the amount of spices such as cinnamon, mint, thyme and anise should be increased in the daily menu.

Lifestyle change involves regular physical activity, a good night's rest, and the rejection of bad habits.

High hemoglobin in women

An increase in hemoglobin levels is fraught with no less serious health consequences than its decrease. Excess iron in the body is manifested in drowsiness, fatigue, difficulty urinating, the appearance of bright areas against the background of pale skin, an enlarged liver, a decrease in vision, little or no appetite, and the appearance of age spots.

Such violations may indicate the development of:

• erythrocytosis;
• bone marrow pathologies;
• hypertension;
• diabetes;
• intestinal obstruction;
• oncological diseases;
• cardiac pathologies;
• diseases of the respiratory system.

A temporary increase in red blood cell counts is possible after a blood transfusion. Also, a high level of red blood cells is inherent in people living in high mountain areas or working at height - pilots, crane operators, climbers.

Other non-specific causes of increased hemoglobin include smoking, dehydration due to diuretics, burns, and old age.

Signs of changes in plasma hemoglobin in one direction or another often coincide. To determine the exact cause of the violations, a complete medical examination is necessary.

How to lower hemoglobin in the blood?

To normalize elevated levels of red blood cells in plasma, doctors recommend taking medications that thin the blood. The list of the most effective drugs includes Curantil, Acecardol, Cardiomagnyl, Vasonite. Additionally, hepatoprotective drugs are used, as well as products containing zinc, calcium, phosphorus and manganese.

In particularly difficult situations, doctors can use erythrophoresis or gastrotomy to remove excess red blood cells.

Dietary nutrition provides for the use of foods that inhibit the absorption of iron - all types of dairy products, pasta and bakery products, cereals.

The norm of hemoglobin in the blood during pregnancy

The changes that occur in the body of the expectant mother are also reflected in the level of hemoglobin. First of all, pregnancy is characterized by the accumulation of fluid, resulting in physiological dilution of blood and a decrease in the concentration of red blood cells.

The normal level of hemoglobin in pregnant women is 110-155 g / l.

A pathological decrease in indicators in pregnant women is possible against the background of iron and folic acid deficiency. As the fetus grows, these substances are consumed in the first place, and their gradually growing shortage leads to anemia.

Low hemoglobin levels during pregnancy can adversely affect the development of the fetus, or provoke premature birth.

Hemoglobin level in women during menstruation

Even the smallest bleeding affects the level of iron in the body, reducing it and causing a feeling of drowsiness and weakness. This process is natural, because during menstruation the body loses some blood, and its replacement is slow.

Moreover, a delay in menstruation can provoke a slowdown in the maturation of red blood cells and, as a result, a drop in blood viscosity. As a result, with the onset of the menstrual period, blood loss increases, further reducing hemoglobin levels.

If the discharge is too small, this may be a sign of an increase in the level of iron in the blood and an increase in its viscosity. Similar symptoms are characteristic of a number of diseases of the cardiovascular system and diabetes.

The lack of iron in the blood, as well as its excess, should not be ignored. The help of a doctor and a medical examination is the only correct way to find the causes of the pathology and eliminate it.

We know from school that hemoglobin (HB) is the respiratory pigment of the blood, a protein that contains iron in its structure, and is itself located in red blood cells called erythrocytes. Its role in our body is narrowly specific, but very important.

Hemoglobin transports oxygen to all tissues and organs, takes carbon dioxide from them and transfers it to the lungs “for exhalation”. At the same time, doctors emphasize the exceptional importance of this process, since as a result of its violation, anemia or anemia develops, the extreme manifestations of which are incompatible with life. This is especially true for women and children. Based on the foregoing, it seems that a high level of hemoglobin in the blood is a blessing. However, this is not true.

High hemoglobin is a rare phenomenon, but it is quite dangerous. Normally, the level of hemoglobin is different for everyone, but always meets the parameters of the optimal state of a person. For men, the norm is 135-169 g / l, for women - 120-140 g / l, and for children it depends on age and ranges from 145-225 g / l in the first three days of life to 120-160 g / l at 16 years. An increase in hemoglobin in a child is often caused by a simple excess of vitamin C or iron, which enter the body with food and are corrected by proper nutrition. In men, high hemoglobin is to a very large extent due to smoking, which changes the composition of the blood, increasing the number of red blood cells in it and reducing the amount of oxygen, or alcohol, which causes damage to the mucous membrane of the gastrointestinal tract with a simultaneous violation of the absorption of folic acid and vitamin B12, which are responsible for hematopoiesis . Women are more interesting. Elevated hemoglobin occurs in the fairer sex infrequently, the most common reason for its increase is considered to be physical activity or permanent residence high in the mountains, where more rarefied air is needed to transport the rarefied air to the lungs than usual. If everything is normal with the place of residence, then most often the “female” hemoglobin increases due to pregnancy. Multivitamin complexes are to blame for everything, causing a supersaturation of the body of the expectant mother with iron. The cause of high blood hemoglobin can be banal dehydration. However, all of the above reasons are quite “harmless”.

Why is high hemoglobin a cause for concern?

This pathology is not so life-threatening, but it is absolutely not the norm for a healthy person. In other words, sometimes elevated hemoglobin can be the only, but at the same time a very reliable sign of the disease. There are ailments in which the number of red blood cells decreases, and the level of hemoglobin increases, and there are those when both the hemoglobin level and the number of red blood cells increase at the same time. This happens against the background of cardiovascular or pulmonary insufficiency, when the body is forced to increase the production of red blood cells to compensate for the lack of oxygen in the tissues due to poor functioning of the heart and lungs. Or with intestinal obstruction, oncological diseases, erythrocytosis, when, for one reason or another, the production of erythropoietin, a hormone that stimulates the formation of red blood cells, increases. The same can happen if you are taking special drugs that stimulate the production of red blood cells. In addition, high hemoglobin is observed with bone marrow dysfunction.

By the way, a high level of hemoglobin in professional athletes is one of the signs of doping and the basis for disqualification.

What worries a woman with increased hemoglobin?

The biggest trouble can be called the appearance of long and painful periods. The symptoms of elevated hemoglobin, as a rule, include sleep disorders, deterioration in general well-being, and redness of the skin. In parallel, there is an increase in blood pressure and a change in blood viscosity, which in turn leads to vascular thrombosis, the formation of cholesterol plaques and, as a result, to acute cerebrovascular accident or myocardial infarction.

The closest attention to the state of the hemoglobin level makes it possible to diagnose in time, and most importantly, to correct the level of respiratory pigment in the blood in a timely manner. Before implementing a whole range of measures to reduce the concentration of hemoglobin, it is necessary to confirm the diagnosis with a blood test. High hemoglobin is diagnosed with an increase in the norm by 20 g / l or more.

How to correct the level of hemoglobin?

The level of hemoglobin is corrected, first of all, by diet - by a sharp restriction in the daily human diet of proteins and iron of animal origin. What exactly do they contain? In red meat, liver, seafood, cereals, red berries, pomegranate and walnuts. In the case of increased hemoglobin, preference is given to cottage cheese, legumes, raw vegetables and sour-milk products. Often this alone is enough to bring the hemoglobin level back to normal. In addition, it is necessary to completely abandon alcohol, since, in combination with iron, it contributes to the production of harmful substances in the body that destroy the liver, and stimulates the absorption of iron, which further increases the level of hemoglobin in the blood. It should be noted that some nutritional supplements and multivitamins containing iron also provoke an increase in hemoglobin levels, as well as vitamin C, which is often recommended as an antioxidant.

In addition to the diet, drug therapy is also used with drugs that reduce blood viscosity. Even leeches are used, which are capable of correcting the hemoglobin level to normal for the next 5-6 months. Erythrophoresis is also used - a manipulation aimed at removing "extra" red blood cells from the bloodstream. But this serious procedure is used extremely rarely and only for health reasons. In addition, doctors advise drinking as much liquid as possible, especially in summer, and limiting the use of sweets, since all this also affects the "thickness" of the blood. You need to consume at least 50 ml of water per day for every kilogram of your body weight. Parting with sweets is especially difficult for women, but nothing can be done, you will have to replace sweets and chocolates with fresh or dried fruits. The diet, as well as the complete treatment program, is always strictly individual, therefore it is compiled exclusively by your doctor. The general recommendation for all of us is still a healthy lifestyle, which has recently become a very good form to follow!

Hemoglobin is a pigment component of red blood cells that captures inhaled oxygen, retains it and distributes it throughout the body, saturating each cell. It can only work in the presence of iron.

The value is determined using a complete blood count. In rare cases, the level of hemoglobin in women may be elevated. In men, this pathology is more common, more details -.

In the article, you will learn what high hemoglobin in women means and why it is dangerous.

What is considered normal hemoglobin

Hemoglobin norms for women differ depending on the age group and range from 120 to 140 g / l. The exceptions are patients who are actively involved in heavy sports, as well as pregnant women.

In the 1st and 2nd trimester of pregnancy, the lower limit of the norm in the blood is 110 g / l, and in the 3rd it is lowered to 105. In women bearing a child, this figure should not exceed 120 g / l.

This is due to the fact that during pregnancy, the volume of circulating blood increases, and an additional amount of iron is spent on the formation of the placenta.

An increase in hemoglobin in the blood in women up to 180-190 g / l causes serious concern and requires special treatment.

Symptoms of high hemoglobin

Women with elevated hemoglobin may experience the following symptoms:

Now let's move on to why hemoglobin is elevated in women in the blood.

Reasons for rejection

Physiological reasons for high hemoglobin levels in women include:

• Living in high mountain areas where oxygen levels are low;
• Intense physical activity: hard work, sports;
• Active smoking, in which hypoxia occurs (oxygen starvation);
• Dehydration of the body.

In these cases, the value increases slightly, by about 10-20 g / l, and does not require special treatment.

There are other reasons why hemoglobin in the blood of women rises. More serious ones include:

Complications when exceeding the norm

A slightly increased hemoglobin in women does not pose a great danger, but with significantly increased numbers, there is a threat of vascular thrombosis.

This in turn can lead to a heart attack, stroke or embolism. Such diseases can cause death, which is why increased hemoglobin in women is dangerous.

How to lower high hemoglobin in women

Treatment of elevated hemoglobin should be comprehensive. First of all, the patient must be assigned a special diet with high hemoglobin in women:

• Beef, fatty pork, liver and tongue are excluded from the menu, which are replaced with turkey, rabbit or lamb meat;
• Cottage cheese, sour cream and cream are consumed in limited quantities, while whole milk is completely excluded;
• From seafood, it is not recommended to use fatty fish, as well as salmon and chum caviar. Low-fat fish is introduced into the diet, which is prepared by boiling or baking;
• Completely exclude animal fats and limit the use of vegetable;
• It is not recommended to use berries: blackberries, strawberries, raspberries, black currants, strawberries. You can use gooseberries, lingonberries, grapes;
• In limited quantities, apples, peaches, apricots, pears are left on the menu. They should first be boiled or baked in the oven;
• It is necessary to remove buckwheat and oatmeal from the diet. You can eat pasta made from durum wheat, rice and millet.
• You can use sausages and canned food;
• In the diet of a woman, zucchini, pumpkin, cucumbers, eggplants, tomatoes, potatoes should be present.

Iron from plant foods is absorbed 4 times less than from animal products. Also, during the heat treatment of products, the level of this substance in them is significantly reduced.

In order to prevent the formation of blood clots, it is necessary to prescribe anticoagulants - drugs that thin the blood. These drugs include drugs based on acetylsalicylic acid: Cardiomagnyl, Aspecard, Aspirin.

With increased hemoglobin in women, it is necessary to control fluid intake. Up to 2.5 liters of water should enter the body per day.

It is better to use still mineral water, tea or compote. From the use of carbonated drinks, rosehip broth and coffee during this period should be abandoned.

Now you know why women have high hemoglobin and how to deal with it.

To make sure that the level of hemoglobin is normal, it is necessary to take a general blood test once a year. If abnormalities are detected, it is worth contacting a therapist or hematologist.

Hemoglobin is one of the most essential blood components, the quantitative indicator of its concentration in the blood depends on many factors, and only the attending physician can decide whether hemoglobin 144 in women is good or bad after the necessary diagnosis.

Hemoglobin is a specific protein that contains iron and is responsible for transporting oxygen and carbon dioxide between lung tissue and blood cells. At the same time, it is also the coloring pigment of erythrocytes, which determines their bright red color. The main task of this blood component is to ensure a stable metabolism in the body.

Normal levels of hemoglobin in the blood

The concentration of iron-containing protein in women ranges from 120-140 hl.

Physiological conditions are possible in which a change in this indicator in one direction or another is also considered to be within the acceptable norm.

The first is pregnancy. In a future mother, a decrease in this indicator can reach 105-110 g / l. This is due to an increase in the volume of circulating blood. The bone marrow becomes unable to provide the necessary concentration of this component and there is a gradual decrease in its level. If anemia (low hemoglobin in the blood) does not exceed 105 g / l, then a properly selected diet helps. At lower numbers, treatment is necessary according to the doctor's recommendations.

A physiological increase in iron-containing protein is observed in athletes and women who smoke and reaches 150-160 g/l. Therefore, an increased rate in this category of patients can be considered the norm.

In all other cases, an overestimation of the concentration of hemoglobin can lead to extremely undesirable consequences. An experienced doctor can determine this pathology even before the diagnosis, focusing only on external signs.

In women suffering from chronically elevated hemoglobin levels, the following complaints appear:

• irritability, sudden mood swings;
• attacks of arrhythmia and pain in the region of the heart;
• increased skin pigmentation;
• fatigue, persistent feeling of weakness;
• frequent headaches.

If the above symptoms appear, it is recommended to take a complete blood count and, if a suspicious result appears, contact a specialist for further examination and treatment.

Causes of increased hemoglobin levels in the blood

There are a number of pathological factors that cause a persistent increase in the concentration of iron-containing protein.

The main ones include the following:

• Intestinal infections characterized by chronic diarrhea and vomiting. In this case, there is a large loss of fluid, accompanied by thickening of the blood and an increase in the number of red blood cells.
• Uncontrolled intake of multivitamin complexes, causing enzymatic disorders, and as a result, excessive absorption of iron and an increase in hemoglobin concentration.

• Diseases of the genitourinary system that require constant intake of diuretics that remove a large amount of fluid from the body.
• Intestinal pathology with malabsorption of B vitamins.
• A number of diseases of the cardiovascular system (angina pectoris).
• Diabetes mellitus and other endocrine disorders.

One of the most severe complications of hyperhemoglobinemia is an increase in blood viscosity and the formation of blood clots (thrombi). This is dangerous for the development of diseases such as stroke, transient ischemic attack and myocardial infarction. As well as an increased risk of vascular thrombosis in varicose veins of the lower extremities.

An increase in the content of a specific protein may also be due to a stay in high mountain regions. The body tries to compensate for the low oxygen concentration by increasing the number of red blood cells.

During blood control, one should not forget about getting an erroneous result. In order for the data to be as accurate as possible, the sampling of material for research is carried out in the morning, strictly on an empty stomach.

A few days before the test, it is necessary to abandon drugs and products that affect fluctuations in the value of blood components.

Ways to lower the level of hemoglobin in the blood

The initial task in normalizing the content of this indicator is to find out the reason why it increases. The tactics of treatment also depend on this. In most cases, after therapy, the hemoglobin level gradually returns to normal.

Upon receipt of an increased result of the analysis, a differential diagnosis is prescribed, including ultrasound, a detailed blood test and consultation of narrow specialists. Based on the results of the examination, the main treatment is prescribed.

In addition, a special diet is needed, with a predominance of white dietary meat (chicken, rabbit), restriction of cereals, flour products and a decrease in fruit consumption.

The diet includes the use of dairy products, greens and vegetables.

To prevent pathological fluctuations in the level of hemoglobin in the blood, an attentive attitude to one's health is necessary. At least once a year, it is recommended to undergo a preventive medical examination with mandatory control of blood tests.

A healthy lifestyle with the rejection of bad habits, proper rational nutrition and compliance with the regime of work and rest is very important.