“My hemoglobin level Is very low since I had chemotherapy. What should I do?”

If you have finished your chemotherapy recently; the anemia is usually related to bone marrow suppression from chemo and it improved as bone marrow recovers. However, if you finished chemotherapy for several months and you are still anemic, then you may need to be evaluated to determine the reason.

Hemoglobin should improve a few months after completion of chemotherapy, if not normal, it should be close to normal. You should discuss with your oncologist to find out any additional causes of anemia especially possibility of damage to bone marrow.

Chemotherapy induced anemia should rebound over the course of 6 to 8 weeks after completion of chemotherapy. If your anemia is lingering past 3 months of chemotherapy completion, your oncologist needs to run tests to figure out the cause.

first usually if chemotherapy is recent, that is very normal. If you already completed your chemotherapy, then need to see if you have renal dysfunction which reduce erythropoietin production. For making red blood cells, you need Iron, Heme, Globulin, healthy marrow and if any of these requirements are not there appropriately, then you became anemic. Need step by step found out what is the cause, is it post chemo induced vs pure red cell aplasia due to chemo or supplement deficiency. Need to see your hematologist