Conversation: The conversation between human and AI assistant.
[|Human|] Hello I am a 52 year old female with hasamotios disease and had blood work done not fasting and had a hemoglobin of 5.9 could this cause this to be high and i have also had anemia in the past and by t4 is 2.0 and tsh is 0.050 and I still feel tired all the time.
[|AI|]  Hihaemoglobin 5.9 at any age is suggestive of anemia. Now low count can be due to1) low production of He due to multiple cause -nutrition deficiency(most common iron and or it. B12), hormonal (hypothyroidism common), or defect at bone marrow level where He production happens. Complete blood count with RBC MORPHOLOGY will suggest the exact cause.2)rapid destruction of RBC due to hemolytic tendency in infectious and autoimmune cause. Serum level bilirubin (specially indirect) will increase in hemolytic anemic condition.3)internal or external hemorrhage(like hemorrhagic) also falls the He level.in short, low He, is the just sign of many disorders.it has to be found out with proper investigations