Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor,My wife (37 years)  suffers from less Hb count.IN December when tested, it was 8.5In January  the Hb was  7.5In february the Hb is 6.5NO piles bleading.She is taking Homeo medicines and fruti juces (REal active by Dabur ) of Mango, Apple and other juoces that have carrot and beet root.She has no apatite and has no intention to have food.What could be the reason and how to correct this ?regardsChundi
[|AI|]  Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Poor appetite leading onto reduced food intake is the cause here.2. The nutrition, particularly iron, it B12 and folic acid levels should be low for such low hemoglobin.3. A hologram with iron studies and it B12 and folic acid assay can help in identifying the cause. Correction of the specific nutrition through oral and injectables is necessary for improvement of anemia.4. If it continues, other cell lines like white blood cells and platelets could also reduce. This could be critical. Also check for protein levels.5. Severe anemia can cause weakness and loss of appetite. Regular food intake, in multiple small quantities, with injectable medicines, good sleep and moderate exercises could help improve appetite. Digestive enzymes could help in improving appetite. Nutritious food intake necessary for overall improvement. Hope it helps. Any further queries, happy to help again.