You should definitely ask your Onc about it since your HGB is far below
normal.  The way to increase HGB is generally to increase RBC
production, which is what Procrit and Aranesp do.  The low end of
normal HGB for women is 12, and for men it is 14.  The low end of
normal HCT for women is 37, and for men it is 42.  These values vary by
age, laboratory, etc, so are not exact for every person.  If your
counts are below these numbers, you are generally considered anemic,
and of course there are degrees of anemia, from mild to severe.  Here
is a link to a good presentation on anemia:
http://chhs.georgiasouthern.edu/nursing/resources/pdfs/women_and_anemia_handout.pdf

Most of us with CML using Gleevec or Sprycel stay at the lower end of
normal or below normal for RBC, HGB, HCT.  That is because these drugs
not only control the leukemic WBCs, but they also tend to suppress
production of our good cells, both white and red.  And the suppression
of our RBC counts, and the associated lower HGB and HCT levels that
follows, cause CML folks to live on the anemic side, to varying
degrees.  But there are also deficiencies of either iron or folic acid
that can cause anemia, so your doc should check out all the issues.
There are tests for iron and folic acid deficiency that could be useful
for determining how best to proceed.

--Trey


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