Conversation: The conversation between human and AI assistant.
[|Human|] I have lower than normal RBC, Hemoglobulin, HCT Hemoglobulin is 11.6 it was 13.5 last time climbing from 10 some time ago after heart surgery possible kidney problems I also take .75mcg levothyroxine/day make vasculitis from surgery almost 2 years ago--------------puzzled
[|AI|]  Hi, Anemia can be secondary to kidney problem, as an essential hormone for RBC production, which is called as erythropoietin, is produced in kidneys. Please consult a nephrologist. If kidney function is really reduced, for treatment of anemia you would need erythropoietin injections along with hepatitis. Hope I have answered your question. If you have any further questions I will be happy to help. With regards,