What drugs are better to take with a decrease in hemoglobin. Overview of drugs to increase hemoglobin. Overview of drugs with a low price

People need drugs to lower hemoglobin in the blood much less often than drugs to increase it. But high hemoprotein levels in the blood also pose a health hazard. Therefore, in case of such a problem, you need to take action. Hemoglobin is the most important indicator of the state of the human circulatory system. There are certain norms, in case of deviations from which one should sound the alarm. An increase in the level of hemoglobin (as well as its decrease) always indicates the development of a pathological process in the body.

Why high hemoglobin is bad

In the female and male bodies, different concentrations of hemoglobin. Therefore, the norm for both sexes is different.

But you should know that the diagnosis of "increased hemoglobin in the blood" is made when its indicators exceed the permissible value by two dozen units. Although many doctors claim that even minor deviations require treatment.

If hemoglobin is elevated, then it must be lowered, since this condition poses a certain health hazard:

the blood becomes thicker, which makes its movement through the vessels difficult;
increases the risk of thrombosis and blockage of blood vessels, which can lead to the development of strokes, heart attacks, deep vein thrombosis and other complications;
well-being deteriorates greatly.

High hemoglobin is accompanied by increased pressure, headache, constant fatigue, lack of sleep and appetite.

How to lower hemoglobin

Drugs to reduce hemoglobin in the blood should be used only after consulting a specialist. Since improper treatment can lead to serious complications.

It is possible to lower the concentration of hemoprotein in the blood only after it has been possible to determine the cause of this phenomenon. The occurrence of such a condition can be affected by external factors and disruption of the internal organs.

External factors include excessive physical activity, living in mountainous areas. This happens due to the fact that the air is rarefied in the mountains and a reflex increase in hemoglobin occurs.

This problem can also provoke some diseases.

For instance:

Oncological pathologies.
Violation of the state of the bone marrow.
Allergies.

Improper diet, bad habits, stress, carbon monoxide poisoning can also affect the performance.

To lower hemoglobin, you need to contact a specialist and undergo the necessary examinations to find out the causes of this phenomenon. It is also necessary to avoid drugs and foods containing a large amount of iron.

To lower hemoglobin:

you need to follow a special diet;
you need to take medicines;
you can use folk methods, but only under the supervision of a doctor.

Drug-induced decrease in hemoglobin

There are certain remedies to fix this problem. A drug that lowers hemoglobin can only be prescribed by a specialist.

Blood viscosity may decrease due to the use of medications such as:

Aspirin;
Trental;
Cardiomagnyl;

You can increase the effectiveness of drug treatment by following these recommendations:

In no case should you drink vitamin complexes that may contain iron, folic acid or B vitamins.
Be sure to eat right. It is necessary to abandon red meat and fruits, butter, fatty dairy products, buckwheat. The diet should consist of vegetarian food. Legumes, rice, green tea, whole grain bakery products, green vegetables are allowed. Food should be steamed or boiled. You should also drink more fluids.
Do not skip taking blood thinners.
You can use mummy. This is an excellent drug that reduces hemoglobin to the desired levels. To do this, you need to purchase a mummy tablet and dissolve it in water. After the resulting mixture you need to drink. It's best to do this before bed. This should be done within ten days. You can add lemon juice to the product.
It is very important to quit smoking. This will greatly speed up your recovery.

High hemoglobin is just as bad as low, so you need to make sure that the indicators are normal. To do this, you should adhere to the principles of rational nutrition, get rid of bad habits, and lead an active lifestyle. Once every six months, it is recommended to donate blood for analysis to monitor the functioning of the circulatory system and the whole body. By following these tips, many health problems can be avoided.

Iron is a vital trace element, without which the full existence of the human body is impossible.

It is present in a large number of foods that are in the diet of everyone, however, despite this, sometimes there are situations when it is not enough. How can it be compensated, what are the pros and cons of each of the ways to correct iron deficiency? Details in the new article.

If a person has a reliably confirmed iron deficiency, then there are various ways to compensate for it. There are five in total.

Eating foods rich in iron.
Taking a multivitamin that contains iron.
Iron tablets.
Medicines containing iron for parenteral administration.
Transfusion of donor erythrocyte mass.

For each of these methods, there are certain indications, that is, those situations or diseases that cause this particular choice. All of them have their pros, cons, side effects and, of course, treatment should take place under medical supervision. During treatment, laboratory monitoring of hemoglobin, erythrocytes, serum iron and, ideally, ferritin should be periodically carried out, because an overdose of iron is much worse than its moderate deficiency.

For a full-fledged existence, any person needs to receive 10-18 mg of iron with food during the day, and women need it in larger quantities (given their regular blood loss with menstruation). The need for this trace element increases during pregnancy, breastfeeding, during active growth in children and adolescents. However, the main problem is that only 10% of all iron that enters the digestive tract is absorbed in the intestines, and most of it leaves it unchanged in a natural way.

The most iron-rich meat products, liver, fish, chicken yolk. Halva, apples, apricots, buckwheat, cocoa powder, pears, dried fruits are leaders among non-animal products, however, with the exception of apples and pears, it will not be possible to eat a large amount of these products, as they are very satisfying. We can assume that the norm of iron is obtained if a person ate 150 grams of beef, or 50 grams of liver or 200 grams of oatmeal per day. But this amount of food fills only the daily need for this microelement, it is not enough to eliminate the already existing iron deficiency.

This means that iron-rich foods can and should be included in the diet of absolutely everyone without fear of overdose (it has been proven that it is impossible to exceed the dose only by eating). However, if a person has an iron deficiency in a laboratory, there are clinical signs of sideropenia (this is what this condition is called), then more serious measures are needed to correct it.

Today, many people who adhere to a healthy lifestyle resort to course intake of various multivitamins. There is a lot of controversy around these drugs, some doctors believe that to compensate for the daily need for essential vitamins and minerals, you need only good nutrition, while others are of the opinion that it alone is not enough.

On the windows of pharmacies you can find many multivitamin complexes, most of which include iron. Manufacturers know that in order for this microelement to be better absorbed, it should be taken along with vitamin C and the latter must be added to the composition. However, the content of each individual component in them is usually very small. For example, Complivit Iron contains 15 mg of the substance, and AlfaVit Classic contains 14 mg. This dose is commensurate with the daily requirement, however, only 10% is actually absorbed, that is, 1.5 and 1.4 mg, respectively. The situation is similar with other multivitamin complexes, which include iron.

Thus, a multivitamin containing iron in combination with vitamin C can be taken to meet the daily requirement along with food rich in these elements. They may be relevant for vegetarians, who often experience iron deficiency. However, they are not suitable for the treatment of laboratory-confirmed anemia, since the dose of this element in them is too small.

If the patient has iron deficiency anemia, then the treatment option is to take medicines that contain iron, in tablets, syrups or drops. This is convenient, because the course of therapy usually lasts several months, during which a person must take control blood tests so that the doctor can see if there is any dynamics during therapy. The therapeutic dose of iron preparations is 100-200 mg per day, in rare cases - 300 mg. This applies to drugs, which include both two- and ferric iron. After reaching normal levels of erythrocytes and hemoglobin (usually this occurs after 1-2 months from the start of administration), the patient is transferred to a maintenance dose, which is 50-100 mg. The duration of therapy is determined individually and takes into account the cause that caused anemia.

Medicines containing ferrous iron.

These include Fenyuls, Sorbifer, Hemofer, Tardiferon, etc. They are better absorbed, however, various side effects often develop during therapy, such as abdominal pain, constipation, heartburn, staining of teeth in a dark color, nausea. The drugs are available in the form of tablets, capsules, syrups and drops, which facilitates therapy in young children and patients who have difficulty swallowing solid foods.

Preparations containing trivalent iron.

In its pure form, this substance is not absorbed, so it needs to be restored to divalent. For this reason, these drugs are absorbed much worse than the previous ones, but they have fewer side effects. These include Maltofer, Ferrum Lek, Kosmofer, etc. They are used mainly for intolerance to drugs containing ferrous iron.

In some situations, the intake of iron preparations inside is undesirable, or even impossible. In this case, they resort to parenteral administration of drugs (intravenously or intramuscularly). The indications for this type of therapy are as follows:

the patient is unconscious, or his mental state makes it impossible to take drugs inside;
exacerbation of gastric ulcer, gastrointestinal bleeding;
non-specific ulcerative colitis or other severe bowel disease in which absorption is impaired;
condition after removal of part of the stomach;
there is a need to quickly saturate the body with iron after massive blood loss.

In the latter situation, the introduction of drugs into a vein or muscle is carried out until the anemia is considered "mild", and then the patient is transferred to oral forms.

Considering that with this route of administration, the entire drug enters the bloodstream, its dose is reduced and is not more than 100 mg per day, however, it is calculated individually, taking into account body weight and glomerular filtration rate of the kidneys. The doctor should regularly monitor the level of hemoglobin, erythrocytes and serum iron in order to prevent an overdose, which is no less dangerous than a deficiency. For parenteral administration, Venofer, Ferbitol, Ferruk Lek, Zhektofer and others are produced.

This type of replenishment of iron deficiency is a reserve type of therapy, because it is used in cases where the patient's condition is regarded as severe. It can occur as a result of massive blood loss after trauma, surgery, difficult childbirth, etc. Usually, donor erythrocyte transfusion is used when the hemoglobin level is below 50-60 g/l, that is, the patient has severe anemia. However, in this case we are talking about acute blood loss, because with chronic blood loss, the human body gradually adapts to oxygen deficiency, and transfusion of red blood cells is not always indicated for such patients.

The advantages of this procedure include the speed of the effect - one hemotransfusion can increase the level of hemoglobin immediately by 20-40 g / l. If necessary, it is repeated several times until the moment when the patient leaves the critical state. However, the real disadvantage of transfusion of donor erythrocyte mass is the risk of an allergic reaction up to anaphylactic shock. It is extremely rare for severe complications to occur if the patient's blood type or Rh factor was incorrectly determined (which can happen in an emergency, with a strong rush).

The option of correcting iron deficiency should be determined by the physician after examination, determining the level of hemoglobin, erythrocytes, serum iron and, if possible, ferritin. At the same time, he is obliged to send the patient for a comprehensive examination to determine the cause of iron deficiency anemia, which never develops in an absolutely healthy person.

Anemia is a condition of the body characterized by a reduced concentration of red blood cells and hemoglobin in the blood. The most common form of anemia is iron deficiency. This pathology often accompanies other diseases or may exist as a temporary phenomenon due to iron deficiency. Medicines to increase hemoglobin in the blood will help restore iron levels.

General information about anemia

Anemia develops as a result of prolonged iron deficiency or as a result of chronic blood loss. The body begins to lack iron and B vitamins.

Iron deficiency is observed in pregnant and lactating women, professional athletes and children. People with frequent respiratory infections are also prone to developing anemia.

Causes of anemia

The main causes of anemia are:

Diagnosis of anemia

Initially, a complete blood count allows you to diagnose a low level of hemoglobin. Without fail, blood is donated for a biochemical study, in which the level of bilirubin is determined, since it is a breakdown product of hemoglobin.

The analysis will show the concentration of hemoglobin and red blood cells, and the doctor will compare it with normal values.

The result of the analysis shows the number of reticulocytes, which characterize the state of bone marrow activity.

Additional studies are possible to establish the cause of the anemic syndrome - various methods of instrumental diagnostics of the activity of the gastrointestinal tract, ultrasound of the pelvic organs, as well as consultation with a hematologist for pathologies of the circulatory system.

Based on the results of the tests, the doctor establishes the true cause of the development of anemia and develops a scheme for further therapy.

Learn more about anemia in this video:

Hemoglobin analysis

Hemoglobin is of great importance for the human body. It is present in red blood cells and carries iron atoms. When the red pigment of this protein combines with oxygen, the blood turns red. Moving through the vessels, hemoglobin transports oxygen to all internal organs.

The concentration of hemoglobin throughout the day is uneven. Its highest rate is in the morning, and the lowest value is recorded after eating. Gender and age of a person affect hemoglobin levels.

The hemoglobin index is measured by a general blood test in grams per liter (g/l).

Decreased hemoglobin

Anemia is often a concomitant disease and it is extremely difficult to diagnose it as an independent pathology. Patients in most cases are unaware of the existence of the disease.

Features of clinical manifestations

Depending on how much the hemoglobin level is reduced, the following symptoms are noted:

For children, loss of appetite, pallor and rapid pulse are characteristic, adolescents with anemia become overly irritable and emotional.

A characteristic sign of iron deficiency is atrophy of the mucous membrane of the digestive organs, which is quickly restored after timely treatment.

All symptoms of anemia directly indicate oxygen starvation of the brain, heart and other internal organs.

Therefore, the following physiological manifestations are considered an alarm signal:

During pregnancy

One of the frequent pathologies that accompany pregnancy is iron-containing anemia. Iron deficiency usually manifests itself in the second half of pregnancy, but in the presence of adverse factors it can also occur in the first weeks.

Due to complex hormonal changes, increased need for iron, and low absorption of iron by the digestive tract, anemia most often develops during early toxicosis.

Iron deficiency significantly complicates the course of pregnancy, the process of childbirth and the postpartum period:

A low hemoglobin level is diagnosed either in a women's clinic or in a hospital. At an early stage, anemia is asymptomatic, most often the pathology is detected during mandatory blood tests.

Based on the results of the tests, the general clinical picture, doctors identify risk factors in pregnant women prone to the development of anemic syndrome:

women with gynecological diseases of the endometrium
patients who experienced profuse blood loss during menstruation
cases of miscarriages
bleeding in a previous pregnancy
frequent childbirth
problematic current pregnancy - young age of primiparous, toxicosis, pregnant after 30 years, multiple pregnancy, placenta previa or hypotension

Therapy of anemia in pregnant women is based on the correction of the diet with the intake of iron-containing medicines.

Anemia of pregnant women on video:

How to increase hemoglobin

In situations where dietary adjustment with an increase in foods high in iron does not bring the desired effect, the doctor prescribes medication to increase hemoglobin.

Medical treatment

The main requirement for drugs is the fastest result of treatment and good tolerance by the body.

Any drug should be prescribed exclusively by a doctor in order to avoid side effects.

Medicines that increase the concentration of iron are produced in the form of tablets, injections or syrups. The most effective drugs are considered to be drugs with a composition of ferrous iron. The compound is best absorbed in an acidic environment, so the drug is produced with the addition of ascorbic acid.

Most often, doctors prescribe the following drugs (Table 1).

Decreased hemoglobin occurs due to a lack of iron in the blood. Without this trace element, there is a failure in the transportation of other beneficial substances, oxygen, through the vessels to the tissues of the body. The question of how to raise hemoglobin should be decided taking into account many factors. carried out by doctors at different stages of a person's life: during birth, after the first year of life, feeding, treatment of concomitant diseases, as well as the appearance of symptoms of anemia.

How to raise hemoglobin at home

Before you increase the level of hemoglobin, you need to know its normal values, and these are: 130g / l in men, 120g / l in women and 110g / l in children. Deviations of several units are normal, but it is desirable for everyone to know the causes of hemoglobin level fluctuations. A drop in blood levels can be caused by:

diseases that led to blood loss (ulcers, erosion);
a sudden increase in hormonal levels (adolescence, pregnancy, menopause, thyroid disease);
heavy physical labor and inadequate or malnutrition;
violation of the menstrual cycle and concomitant "female" diseases;
poor absorption of iron from foods (some diseases of the digestive system);
postoperative period.

Indications: with iron and folic acid deficiency, low hemoglobin in the blood, for the prevention of anemia, during pregnancy.

Application: adults - 1 tablet 3 times a day, course of treatment - no more than 3 months. For children, the dosage method is selected individually by the doctor.

Heferol

Compound: ferrous fumarate.

Indications: with iron deficiency, low hemoglobin, anemia, with bleeding from the housing and communal services, hypermenorrhea, hematuria, polymenorrhea, during pregnancy, lactation.

Application: adults - 1 tablet per day, children - is prescribed individually. course of treatment - 6-10 weeks.

injections

If concomitant diseases do not make it possible to take iron by mouth, then the doctor will prescribe the administration of drugs intravenously or intramuscularly. The drug acts faster and the process of absorption through the blood of iron and other components is accelerated.

Mircera

Compound: methoxy polyethylene glycol-epoetin beta. Release form - a bottle of 1 ml, a syringe-tube of 0.3 ml and 0.6 ml.

Indications: anemia associated with .

Application: administered intramuscularly and intravenously. The exact dosage is determined by the attending physician.

Erythropoietin

Compound: epoetin-beta.

Indications: prevention and treatment of anemia of various origins: with chronic renal failure, cancer patients during chemotherapy, premature newborns weighing 0.750-1.5 kg, to increase the volume of donor blood.

Application: the exact dosage is determined by the attending physician. The initial dose is 50-150 IU / kg, 3 times a week.

Any treatment, even vitamins or iron, should be under the supervision of a physician and only as prescribed. Many drugs have side effects, and iron preparations are also prescribed with great care to children and pregnant women, therefore, in case of deterioration in health while taking medication, be sure to seek help from a doctor.

A person can cause many problems. Modern drugs with low hemoglobin will help replenish the reserves of an important element.

What is anemia

This condition is characterized by a low level of hemoglobin structures. Anemia develops, in which oxygen supply to tissue cells deteriorates. There are drugs that increase hemoglobin in the human body.

There are several varieties of anemic conditions in which there is a lack of proteins, or cyanocobalamin.
The most common form is iron deficiency anemia, caused by a mismatch in the need and intake of Fe ions.

There are two levels of the disease:

Latent iron deficiency, in which ferritin and hemoglobin concentrations are reduced, as well as transferrin filling, while there are no clinical signs of Fe deficiency.
Actually an anemic state with obvious characteristics of a lack of metal in human organs, when there is a violation of the formation of hemoglobin molecules.

Importance of iron in the body

This is an essential element for humans. About 70% of this substance is included in the composition of hemoglobin. The internal organs cannot synthesize iron ions, they are delivered only with food.

Hemoglobin protein binds oxygen molecules in erythrocyte cells.

Insufficient iron content causes oxygen starvation. Restore drugs and drugs that contain Fe-ions.

The structure of hemoglobin

The structure of hemoglobin contains four heme-containing protein subunits. Between the protomers, a hydrophobic, ionic, hydrogen type compound occurs according to the complementary principle.

The heme contains a divalent metal ion, which is included in the prosthetic group.

signs of anemia

Iron preparations with low hemoglobin in adults are prescribed for hypotension, pallor of the skin, collapsed veins, weakness, drowsiness, dizziness, decreased performance, palpitations, shortness of breath.

The reason for taking medication is a change in the skin with excessive dryness, peeling. The nail plate becomes striated and brittle, and the hair does not have enough strength, they fall out and split. The iron-deficient form can be identified by a perversion of taste preferences.

In laboratory blood tests, the lower limit of the normal hemoglobin content will be 130 grams per liter for the male body and 120 grams per liter for the female.

A mild anemic degree is an Hb value that is above 90 grams per liter, but less than 110 grams per liter, with a moderate degree there will be an Hb indicator from 70 to 90 grams per liter, and with a severe form, the Hb level will be below 70 grams per liter.

Features of the choice of medicines

To eliminate the anemic iron deficiency state, the doctor selects drugs that increase hemoglobin, based on the characteristics of the metabolism of iron ions, absorption characteristics, composition and dosage form.

It has been established that the introduction of an intramuscular drug gives a worse result than with oral administration of tablet forms. This is due to the way the metal ions are absorbed, which begins in the intestines. With the first method of administration, more adverse reactions occur.

Iron preparations with low hemoglobin in adults should include the optimal content of the element in its pure form, which ranges from 80 to 160 mg. This amount is equivalent to 320 mg of sulfate, it is enough to obtain the desired therapeutic effect. Deviation from the selected dose or discontinuation of the drug will cause undesirable consequences.

An important condition for proper treatment is to maintain the integrity of the tablet when taken. It is not chewed, but immediately swallowed with water. Usually liquid iron-containing drugs are inferior to tablet forms in terms of effectiveness.

Complex vitamin and mineral preparations are not able to fully compensate for the lack of an element in the body due to its low content.

The safest are encapsulated and coated preparations with iron to increase hemoglobin. This form protects the mucous epithelium of the digestive tract from the negative effects of the drug.

Medicines for anemia

Depending on the type of anemia, various medications are used. It can be either vitamin substances in the form of cyanocobalamin, folic and ascorbic acid, alpha-tocoferrol, riboflavin or pyridoxine.

In the aplastic form of the disease, glucocorticosteroid drugs, medicines based on anabolic steroids, androgens, and cytostatics are used.
Medicines with erythropoietin are aimed at stimulating hematopoiesis and increasing the content of hemoglobin.

They are most commonly used to treat an anemic condition. This group is assigned to increase low hemoglobin. Usually, these are salt-containing drugs that are well absorbed through the intestinal wall for subsequent incorporation into the heme structure. The formation of hemoglobin causes an improvement in oxygen transport.

There are medicines with trivalent or ferrous iron. To improve the availability of the first form, amino acid compounds are needed to transport Fe 2+ ions to the bone marrow. The absorption of iron with valence II is enhanced under the influence of ascorbic acid, which ensures the transfer of ions and inclusion in the heme structure.

From a physiological point of view, tablet preparations are more preferable. Parenteral administration of the drug is used to quickly saturate the body with an element when there are intestinal pathologies and there is no improvement from treatment with solid forms.

High dosages of drugs are used to obtain normal hemoglobin values, and then a maintenance dose is selected. A reduced amount of medication is used to prevent anemia.

Medications with ferrous iron

People with anemia often ask the doctor how to increase hemoglobin in the blood. The preparations are sulfates with vitamin supplements. The latter contribute to the improvement of absorption and availability.

The most commonly used drug is Sorbifer Durules, it contains ferrous sulfate and C-vitamin.

Another common remedy is Tardiferron tablets, in which ascorbic acid is replaced by folic acid. The medicine is taken in the morning and in the afternoon, 30 minutes before meals. Tablets should be washed down with 200 ml of water.

Capsules include:

"Ferrofolgamma" with ferrous sulfate, cyanocobalamin, C-vitamin.
"Ferretab" with fumarate and folic acid.
"Fenyuls" with FeSO 4 , B9, B5, C, B2, B6 vitamins.

The drug "Aktiferrin" in the form of capsules, drops and syrup treats anemia in children.

An inexpensive drug for increasing hemoglobin "Hematogen" has albumin protein and FeSO 4 in its composition.

The drug "Totem" in the form of a solution contains iron (II) gluconate, copper, manganese.

Fe sulfate is present in the Prolongatum haemofer dragee.

Medications with ferric iron

They are treated in blood. A review of this group of drugs allows you to determine the dosage form and features of the active ingredients in the composition of anemia drugs.

In medicines with ferric iron, this metal is present in the form of polymaltose hydroxide. This composition has:

The "Biofer" medication, in addition to polymaltose hydroxide, contains folic acid. Available in tablet form.

In the structure of the Ferlatum drug, the active component of the solution is protein succinate.

Iron preparations are administered intramuscularly with low hemoglobin in adults, if there are certain indications. They are characterized by reduced absorption of iron ions in the gastrointestinal tract in various chronic pathologies in the form of enteritis, chronic pancreatitis, and insufficient absorption syndrome.

Parenteral use of the drug should be carried out with an exacerbation of an ulcer in the duodenum or stomach, with ulcerative colitis, individual hypersensitivity to iron compounds, removal of part of the stomach or small intestine.

To quickly saturate body tissues with metal in case of large blood loss, before operations associated with hemorrhoids, treatment of fibromyotic formations and other pathologies, the drug is administered into the muscle. The amount used for injectable therapy should not exceed 100 mg per day. It is sufficient for complete saturation of transferrin molecules with this metal.
In the form of injection solutions, the drugs "Venofer", "Argeferr", "Likferr", "Cosmofer" are produced.

Adverse reactions during treatment

Iron preparations with low hemoglobin in adults can cause side effects, which are due to the sensitivity of each patient and the form of the medication.

Some drugs are capable of causing all sorts of processes of an allergic nature caused by intolerance to the active ingredient.

The mucous membrane of the digestive system is irritated by means containing iron, but not covered with a protective shell. In this case, pain symptoms are observed in the epigastric region, as well as difficult emptying of the large intestine.

Taking tablets and liquid preparations causes darkening of the enamel on the teeth.

The intravenous method of using solutions provokes a state of thrombophlebitis, in which the vessels in the injection area become inflamed.

The effect of therapy

Iron preparations with low hemoglobin in adults begin to have an effect only three weeks after taking the medication, at which there is a slight increase in Hb values. The effectiveness of the pharmacotherapeutic effect of the drug is considered positive when normal hemoglobin values \u200b\u200bare reached in 60 days. After the dosage is adjusted for maintenance treatment.

In the treatment of iron deficiency anemia, patients are prescribed, in parallel with taking medications, the use of plant foods, juices, in which vitamin substances are present in large quantities. For recovery, proteins must be supplied to the body with meat and dairy products.

Most importantly, the attending physician should deal with the choice of a drug for the treatment of anemia. Self-medication will not give the desired improvements, but it will cause unwanted reactions, which will aggravate the course of the disease.