

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!
Exclusive: Gabrielle Union On Radical Transparency, Being Diagnosed With Perimenopause And Embracing What’s Next
Whenever Gabrielle Union graces the movie screen, she immediately commands attention. From her unforgettable scenes in films like Bring It On and Two Can Play That Game to her most recent film, in which she stars and produces Netflix’s The Perfect Find, there’s no denying that she is that girl.
Off-screen, she uses that power for good by sharing her trials and tribulations with other women in hopes of helping those who may be going through the same things or preventing them from experiencing them altogether. Recently, the Flawless by Gabrielle Union founder partnered with Clearblue to speak at the launch of their Menopause Stage Indicator, where she also shared her experience with being perimenopausal.
In a xoNecoleexclusive, the iconic actress opens up about embracing this season of her life, new projects, and overall being a “bad motherfucker.” Gabrielle reveals that she was 37 years old when she was diagnosed with perimenopause and is still going through it at 51 years old. Mayo Clinic says perimenopause “refers to the time during which your body makes the natural transition to menopause, marking the end of the reproductive years.”
“I haven't crossed over the next phase just yet, but I think part of it is when you hear any form of menopause, you automatically think of your mother or grandmother. It feels like an old-person thing, but for me, I was 37 and like not understanding what that really meant for me. And I don't think we focus so much on the word menopause without understanding that perimenopause is just the time before menopause,” she tells us.
Gabrielle Union
Photo by Brian Thomas
"But you can experience a lot of the same things during that period that people talk about, that they experienced during menopause. So you could get a hot flash, you could get the weight gain, the hair loss, depression, anxiety, like all of it, mental health challenges, all of that can come, you know, at any stage of the menopausal journey and like for me, I've been in perimenopause like 13, 14 years. When you know, most doctors are like, ‘Oh, but it's usually about ten years, and I'm like, ‘Uhh, I’m still going (laughs).’”
Conversations about perimenopause, fibroids, and all the things that are associated with women’s bodies have often been considered taboo and thus not discussed publicly. However, times are changing, and thanks to the Gabrielle’s and the Tia Mowry’s, more women are having an authentic discourse about women’s health. These open discussions lead to the creation of more safe spaces and support for one another.
“I want to be in community with folks. I don't ever want to feel like I'm on an island about anything. So, if I can help create community where we are lacking, I want to be a part of that,” she says. “So, it's like there's no harm in talking about it. You know what I mean? Like, I was a bad motherfucker before perimenopause. I’m a bad motherfucker now, and I'll be a bad motherfucker after menopause. Know what I’m saying? None of that has to change. How I’m a bad motherfucker, I welcome that part of the change. I'm just getting better and stronger and more intelligent, more wise, more patient, more compassionate, more empathetic. All of that is very, very welcomed, and none of it should be scary.”
The Being Mary Jane star hasn’t been shy about her stance on therapy. If you don’t know, here’s a hint: she’s all for it, and she encourages others to try it as well. She likens therapy to dating by suggesting that you keep looking for the right therapist to match your needs. Two other essential keys to her growth are radical transparency and radical acceptance (though she admits she is still working on the latter).
"I was a bad motherfucker before perimenopause. I’m a bad motherfucker now, and I'll be a bad motherfucker after menopause. Know what I’m saying? None of that has to change. How I’m a bad motherfucker, I welcome that part of the change."
Gabrielle Union and Kaavia Union-Wade
Photo by Monica Schipper/Getty Images
“I hope that a.) you recognize that you're not alone. Seek out help and know that it's okay to be honest about what the hell is happening in your life. That's the only way that you know you can get help, and that's also the only other way that people know that you are in need if there's something going on,” she says, “because we have all these big, very wild, high expectations of people, but if they don't know what they're actually dealing with, they're always going to be failing, and you will always be disappointed. So how about just tell the truth, be transparent, and let people know where you are. So they can be of service, they can be compassionate.”
Gabrielle’s transparency is what makes her so relatable, and has so many people root for her. Whether through her TV and film projects, her memoirs, or her social media, the actress has a knack for making you feel like she’s your homegirl. Scrolling through her Instagram, you see the special moments with her family, exciting new business ventures, and jaw-dropping fashion moments. Throughout her life and career, we’ve seen her evolve in a multitude of ways. From producing films to starting a haircare line to marriage and motherhood, her journey is a story of courage and triumph. And right now, in this season, she’s asking, “What’s next?”
“This is a season of discovery and change. In a billion ways,” says the NAACP Image Award winner. “The notion of like, ‘Oh, so and so changed. They got brand new.’ I want you to be brand new. I want me to be brand new. I want us to be always constantly growing, evolving. Having more clarity, moving with different purpose, like, and all of that is for me very, very welcomed."
"I want you to be brand new. I want me to be brand new. I want us to be always constantly growing, evolving. Having more clarity, moving with different purpose, like, and all of that is for me very, very welcomed."
She continues, “So I'm just trying to figure out what's next. You know what I mean? I'm jumping into what's next. I'm excited going into what's next and new. I'm just sort of embracing all of what life has to offer.”
Look out for Gabrielle in the upcoming indie film Riff Raff, which is a crime comedy starring her and Jennifer Coolidge, and she will also produce The Idea of You, which stars Anne Hathaway.
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I didn’t think much could get better about the blissful high that comes with oral. That was until I came across the Kivin Method.
As someone who was never a huge fan of oral sex and could largely take it or leave it, I must admit that I have started to come around in recent years. With my head thrown back, hands gripping sheets and hair, and toes curling from the intense sensations of the work my partner is putting in at my center, I now give myself over to the pleasurable act wholly and unapologetically.
When I came across a way to maximize the pleasure I receive from cunnilingus (already), I had no choice but to tap in. Who knew the key to taking oral sex to new heights was giving it a sideways twist? For those of you who might also be interested in ways to spice up the way you do oral, experience faster and stronger orgasms, or simply want to indulge in something new with your partner, the Kivin Method could definitely be the oral sex technique for you, too.
Keep reading to learn about the method that is sure to have you writhing in ecstasy in no time at all.
What Is The Kivin Method?
For the uninitiated, the Kivin Method is an oral sex technique that focuses on stimulating the clitoris from a different angle. Dubbed “sideways oral” by some, this method involves the action of giving head from a side-to-side movement as opposed to the up-and-down motion that people typically perform when giving head. (If you need a visual, this illustration is helpful.)
The difference in approach as you’re receiving head can be a game-changer in how you receive pleasure. Not only does the giving partner have access to the clitoris, but they can also access more easily the vulva and the labia, which are objectively a bigger focus in this version of cunnilingus. More access means wider coverage, and that, plus the new sensation of oral from a different angle, can heighten the way you experience oral sex that much more.
Where more pleasure flows, intense orgasms are sure to follow.
Getty Images
How To Do The Kivin Method
If you want to know how to do the Kivin Method, it’s actually pretty straightforward. The receiver lays on their back while the giver positions themselves perpendicular to the receiver. Their head will be facing the vulva, but instead of vertical, their face will be horizontal to the vulva.
From there, the giver can get to business, ensuring that they keep their head perpendicular to the receiver’s vulva while working on their craft. Because this technique can be more intense for some receivers, start slowly by stroking the vulva and clitoris sideways with the tongue, and allow sensations and communication from the receiver to be a guide of what you need more or less of with the Kivin Method.
Ultimately, the Kivin Method allows experimentation and unlocking what pressure, rhythm, and tricks work best for the giver and the receiver. Try implementing a finger or two, or adding a sex toy to the mix to intensify the act even further.
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Featured image by Delmaine Donson/Getty Images