
It's Time To Start Taking Low Iron Levels Seriously, So We Asked A ‘Blood Doctor’ How To Do It

I can still remember the look on my doctor’s face when he read back my hemoglobin levels after taking routine blood work.
“You should be in the hospital right now,” he said with a look of concern on his face. Unaware of the weakened state that my body was in at the time, I was confused by his reaction. “Your hemoglobin levels are at 7gm/dL,” he told me.
“And what are the normal levels?” I asked him, now with equal concern. “For women, normal levels are between 12.3 gm/dL and 15.3 gm/dL.”
It was at that moment that I realized that there was nothing “normal” about my perpetual fatigue and low energy levels — as they all pointed back to one thing: my anemia.
It wasn’t long after my appointment that I started on iron transfusions, and over the four sessions, it felt like I was given an entirely new body. One with more energy, better sleep patterns, less intense periods, and no more fatigue. The surge in energy made me wonder why I went so long to make my anemia a top health priority. What would've happened had I not gone in for the routine check-up sooner?
@andreadeanmd Take iron deficiency seriously. It can affect your quality of life. #irondeficiency #irondeficiencyanemia #lowhemoglobin #anemiaproblems #anemiasymptoms #blackwomenoftiktok #hispanictiktok #tiktocdocs
What Is Anemia and Its Symptoms
Iron deficiency anemia (IDA) is a medical condition characterized when the body lacks enough iron to produce all of the hemoglobin necessary for healthy red blood cells (RBCs). Hemoglobin is a protein in red blood cells that helps carry oxygen from the lungs to the rest of the body.
Because we need oxygen to regulate proper blood flow, individuals with anemia can find themselves experiencing irregular heart rates and extreme fatigue, which can lead to serious health complications if left unchecked.
Other symptoms of anemia include:
- Cold extremities
- Weakness
- Pica, or the desire to eat non-nutritional foods like clay or ice
- Dizziness
- Hair loss
- Brittle nails
- Brain fog
- Shortness of breath
- Restless leg syndrome
There are several types of anemia, each with different underlying causes, such as nutritional deficiencies in iron, vitamin B12, or folic acid deficiency, chronic diseases like blood loss from injuries or medical conditions, or genetic factors like sickle cell anemia.
Anemia and Black Women
While having anemia at times gets overlooked as a serious health condition or even reduced down to “always being cold” and eating ice, it’s important for those living with anemia to understand the causes and long-term effects of this condition.
Studies show that “anemia in Black women and Hispanic women occurs 2 to 3 times more often than in Caucasian women.” While it is still unknown why women of color have a higher occurrence of iron-deficiency anemia, key factors that cause anemia, such as your body’s inability to absorb iron and low intake of essential nutrients like vitamin B12 and B9, should be taken with a great amount of care and consideration as you prioritize your health and well-being.
That’s why we’ve tapped Hematologist/Oncologist of Hematology Connect Andrea R. Dean, MD, to provide us with insight on how to manage and treat our anemia because it’s a condition worth taking seriously.
xoNecole: Are there genetic factors that make Black women more susceptible to anemia?
Dr. Dean: Black women are more susceptible to anemia due to iron deficiency, which is most prevalent in this group. Iron deficiency is commonly due to heavy menstrual bleeding from fibroids. Black women have a greater lifetime incidence of fibroids than any other group of women. This likely has a genetic component, but more research is needed.
xoN: Iron pills are commonly recommended to aid in low iron. From your expertise, what are some other supplements or treatments that can help manage anemia?
Dr. Dean: Treatment for anemia depends on the underlying cause. If anemia is due to B12 deficiency or folate deficiency, replacement of these vitamins is needed. If anemia is due to gastrointestinal bleeding, a referral for an EGD and colonoscopy is needed to locate the source of [the bleeding] and stop it. If anemia is due to iron deficiency, you can take iron pills, liquid iron solution, or intravenous iron.
xoN: What dietary changes can someone make to improve their iron intake and absorption?
Dr. Dean: You can eat green leafy vegetables and red meats to increase iron in your diet. If taking iron pills, absorption is better when taken in the morning on an empty stomach every other day.
xoN: At times, anemia and low iron can be overlooked as a health concern, but what are the potential long-term consequences of untreated or chronic anemia in Black women?
Dr. Dean: Untreated anemia can be detrimental to your health. Your hemoglobin carries oxygen to organs throughout your body. If you are anemic or your hemoglobin is low, your organs are not receiving the oxygen they need to properly function. You can pass out from being anemic, and low hemoglobin stresses your heart muscles, and some patients can experience a heart attack. Additionally, the symptoms from anemia can be debilitating and can decrease your quality of life.
xoN: Can low iron be permanently corrected, or does it have to be managed throughout one’s life?
Dr. Dean: The underlying cause of iron deficiency will determine whether it can be corrected. If iron deficiency is due to decreased absorption from H. pylori, once the bacteria infection is treated, iron deficiency should resolve. If iron deficiency is due to heavy menstrual bleeding, it will likely have to be managed until a woman enters menopause unless she seeks treatment to stop or slow down periods. If iron deficiency is due to gastrointestinal bleeding, it might have to be managed throughout one’s life if they have arterial venous malformations.
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Aley Arion is a writer and digital storyteller from the South, currently living in sunny Los Angeles. Her site, yagirlaley.com, serves as a digital diary to document personal essays, cultural commentary, and her insights into the Black Millennial experience. Follow her at @yagirlaley on all platforms!
Eva Marcille On Starring In 'Jason’s Lyric Live' & Being An Audacious Black Woman
Eva Marcille has taken her talents to the stage. The model-turned-actress is starring in her first play, Jason’s Lyric Live alongside Allen Payne, K. Michelle, Treach, and others.
The play, produced by Je’Caryous Johnson, is an adaptation of the film, which starred Allen Payne as Jason and Jada Pinkett Smith as Lyric. Allen reprised his role as Jason for the play and Eva plays Lyric.
While speaking to xoNecole, Eva shares that she’s a lot like the beloved 1994 character in many ways. “Lyric is so me. She's the odd flower. A flower nonetheless, but definitely not a peony,” she tells us.
“She's not the average flower you see presented, and so she reminds me of myself. I'm a sunflower, beautiful, but different. And what I loved about her character then, and even more so now, is that she was very sure of herself.
"Sure of what she wanted in life and okay to sacrifice her moments right now, to get what she knew she deserved later. And that is me. I'm not an instant gratification kind of a person. I am a long game. I'm not a sprinter, I'm a marathon.
America first fell in love with Eva when she graced our screens on cycle 3 of America’s Next Top Model in 2004, which she emerged as the winner. Since then, she's ventured into different avenues, from acting on various TV series like House of Payne to starring on Real Housewives of Atlanta.
Je-Caryous Johnson Entertainment
Eva praises her castmates and the play’s producer, Je’Caryous for her positive experience. “You know what? Je’Caryous fuels my audacity car daily, ‘cause I consider myself an extremely audacious woman, and I believe in what I know, even if no one else knows it, because God gave it to me. So I know what I know. That is who Je’Caryous is.”
But the mom of three isn’t the only one in the family who enjoys acting. Eva reveals her daughter Marley has also caught the acting bug.
“It is the most adorable thing you can ever see. She’s got a part in her school play. She's in her chorus, and she loves it,” she says. “I don't know if she loves it, because it's like, mommy does it, so maybe I should do it, but there is something about her.”
Overall, Eva hopes that her contribution to the role and the play as a whole serves as motivation for others to reach for the stars.
“I want them to walk out with hope. I want them to re-vision their dreams. Whatever they were. Whatever they are. To re-see them and then have that thing inside of them say, ‘You know what? I'm going to do that. Whatever dream you put on the back burner, go pick it up.
"Whatever dream you've accomplished, make a new dream, but continue to reach for the stars. Continue to reach for what is beyond what people say we can do, especially as [a] Black collective but especially as Black women. When it comes to us and who we are and what we accept and what we're worth, it's not about having seen it before. It's about knowing that I deserve it.”
This interview has been edited for length and clarity.
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'Leave Quicker': Keri Hilson Opens Up About Learning When To Walk Away In Love
What you might call Black love goals, Keri Hilson is kindly saying, “Nah.”
In a recent appearance on Cam Newton’s Funky Friday podcast, the We Need to Talk: Love singer opened up about a past relationship that once had the public rooting for her and former NBA star Serge Ibaka. According to Cam, the pair looked “immaculate” together. Keri agreed, admitting, “We looked good.” But her demeanor made it clear that everything that looks good isn't always a good look for you.
That was all but confirmed when Cam asked what the relationship taught her. Keri sighed deeply before replying, “Whew. Leave quicker.”
It was the kind of answer that doesn’t need to be packaged to be received, just raw truth from someone who’s done the work. “Ten months in, I should have [left],” she continued. “But I was believing. I was wanting to not believe [the signs].”
Keri revealed to Cam that despite their efforts to repair the relationship at the time, including couples counseling, individual therapy, and even sitting with Serge’s pastor, it just wasn’t meant to be. A large part of that, she said, was the seven-year age gap. “He was [in his] mid-twenties,” she said, attributing a lot of their misalignment to his youth and the temptations that came with fame, money, and status.
“There were happenings,” she shared, choosing her words carefully. “He deserved to live that… I want what you want. I don’t want anything different. So if I would’ve told him how to love me better, it would’ve denied him the experience of being ‘the man’ in the world.”
But she also made it clear that just because you understand someone’s path doesn’t mean you have to ride it out with them. Instead, you can practice compassionate detachment like our girl Keri. “You can have what you want, but you may not have me and that.”
When Cam jokingly questioned what if there was a reality where a man wanted to have both “you and a dab of that,” Keri didn’t hesitate with her stance: “No,” adding, “I can remove myself and [then you] have it. Enjoy it.” Sis said what she said.
Still, she shared that they dated for a couple of years and remain cool to this day. For Keri, being on good terms with an ex isn’t a sign of weakness; it's a reflection of where she is in her healing. In a time when blocking an ex is often seen as the ultimate sign of growth, Keri offers an alternate route: one where healing looks like resolution, not resentment. “I think because I have such a disgust for ugliness in my life. Like, I don't do well without peace between me and everyone in my life. Like, I really try to resolve issues,” she explained to Cam.
Adding, “I think that's what makes things difficult when you're like sweeping things under the rug or harboring ill feelings towards someone. When you're healed, when you've done your work, you can speak to anybody when you've healed from things. I think maybe that's the bottom line.”
Watch Keri's appearance on Funky Friday in full here.
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