
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!
'He Said, She Said': Love Stories Put To The Test At A Weekend For Love
At the A Weekend For Love retreat, we sat down with four couples to explore their love stories in a playful but revealing way with #HeSaidSheSaid. From first encounters to life-changing moments, we tested their memories to see if their versions of events aligned—because, as they say, every story has three sides: his, hers, and the truth.
Do these couples remember their love stories the same way? Press play to find out.
Episode 1: Indira & Desmond – Love Across the Miles
They say distance makes the heart grow fonder, but for Indira & Desmond, love made it stronger. Every mile apart deepened their bond, reinforcing the unshakable foundation of their relationship. From their first "I love you" to the moment they knew they had found home in each other, their journey is a beautiful testament to the endurance of true love.
Episode 2: Jay & Tia – A Love Story Straight Out of a Rom-Com
If Hollywood is looking for its next Black love story, they need to take notes from Jay & Tia. Their journey—from an awkward first date to navigating careers, parenthood, and personal growth—proves that love is not just about romance but also resilience. Their story is full of laughter, challenges, and, most importantly, a love that stands the test of time.
Episode 3: Larencia & Mykel – Through the Highs and Lows
A date night with police helicopters overhead? Now that’s a story! Larencia & Mykel have faced unexpected surprises, major life changes, and 14 years of choosing each other every single day. But after all this time, do they actually remember things the same way? Their episode is sure to bring some eye-opening revelations and a lot of laughs.
Episode 4: Soy & Osei – A Love Aligned in Purpose
From a chance meeting at the front door to 15 years of unwavering love, faith, and growth, Soy & Osei prove that when two souls are aligned in love and purpose, nothing can shake their foundation. Their journey is a powerful reminder that true love is built on mutual support, shared values, and a deep connection that only strengthens with time.
Each of these couples has a unique and inspiring story to tell, but do their memories match up? Watch #HeSaidSheSaid to find out!
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Did You Know That Certain Traits In Men Can Make It Easier For You To Orgasm?
Recently, while doing a podcast interview on how God, love, and sex all work together, I shared something that I find myself saying quite a bit to church folks (whenever those topics, together, come up): “The main purpose of sex is not procreation, it’s oneness. Adam and Eve did not procreate until after they left the Garden of Eden. They had sex prior to that, though.” (Genesis 2:24-25, Genesis 4:1)
The reason why I think that this is relevant to today’s topic is, as I was doing some research for it, I found myself rolling my eyes quite a bit as I read things like “men need to orgasm in order to release sperm; women don’t need an orgasm to conceive” and “Why do women orgasm? It’s still a mystery.” Umm, is it? Because if you factor in the oneness component that I just mentioned (which more people should take to heart if you ask me) and then add to that the fact that the ONLY purpose of a clitoris is sexual stimulation and satisfaction for a woman — female climaxing and the need for it to happen as much as possible should baffle absolutely no one.
Sex serves a layer of benefits and yes, for both men and women, pleasure should be one of them. And since that is the case, a woman being able to orgasm, as much as she can, should be promoted…in content on a consistent basis.
And that is why I thought some of you might find it interesting that there are certain things about men, specifically, that science says can increase the chances of you climaxing — not only more but more intensely too.
Let’s dive in.
How Masculine a Man Is
I’m gonna be honest: All of the women out here who give pushback on submission and yet want a man to physically look up to (you know, someone who is 6’ or over which is only 15 percent of the male US population, by the way) fascinate me. So, you want a man who towers over you yet you think it is antiquated for a man to lead you? Do tell. Anyway, that is the first thing I thought about when I read that a man’s level of masculinity plays a significant role in how often a woman is able to orgasm and how quickly she is able to do it.
It would appear that some of the backstory on this is, on the physical tip, men with strong jawlines and broad shoulders represent being in good health as well as being able to protect their family while research also reveals that men with beards make many women believe that they would be good fathers. And yes, as much as social media may say — or scream — otherwise, women tend to prefer dominant (exerting authority or influence) men more as well. All of this together, in the bedroom, results in more and faster orgasms for women. Fascinating.
A Man’s Personality
A sense of humor in a man can really take him a long way in life — including when it comes to giving women orgasms. That’s why articles like “Funny Men Give The Best Orgasms, According To Research” exist. Although it’s probably a given that a lot of us are drawn to this character trait because it makes us feel good, research also says that humor taps into our creativity, makes it easier for us to adapt to things, and can help us to be better problem-solvers too.
Sexually, I would think that being funny helps because humor and orgasms both provide dopamine hits which is the feel-good hormone that runs throughout our bodies. While we’re on this topic, other personality traits that will make you cum more when it comes to men include being creative, warm, and faithful — gee, imagine that. #sarcasm
Also, a Man’s Self-Esteem
I’m pretty sure it doesn’t surprise you in the least that the more intense your orgasms are with a guy, the more attractive you’ll find him to be and the more willing you’ll be to have sex with him multiple times a week. Yeah, y’all be careful with this one because something else that science says is whenever a really good orgasm comes your way, as a woman, your brain literally switches all the way off for a moment (which could explain a lot when it comes to who some people choose to deal with out here…just sayin’). Anyway, apparently it would seem that a truly confident man is who’s able to pull all of this off.
That makes sense because confidence is all about having a high sense of self-worth; embracing challenges; not having a lot of self-doubt; listening well to others; standing firm on one’s own beliefs; putting plans into action, and taking control of one’s life. Plus, since a lot of women will admit that they prefer a man to be a provider and protector, which in turn causes them to feel safe, and feeling safe also makes it easier to let go and enjoy sex fully — yes, all of this tracks.
Foreskin
If no one else will say it, I WILL: the double standard on foreskin vs. the extra skin that a lot of women have when it comes to their vulva is absolutely ridiculous. In fact, if you know some things about your clitoris, it’s constructed a lot like a mini-penis in the sense of it experiences an erection of sorts when it’s aroused and the clitoral hood is the clitoris’s “foreskin.” So, to be out here giving the “ick” to men for how they were born when some of us have large or hanging lips — yeah, let’s chill on that.
Besides, according to science, “uncut men” not only have a greater level of sensation during sex, but that extra bit of skin (which isn’t as much as a lot of y’all make it out to be…relax) actually gives women more consistent orgasms too. Don’t believe me? Read this here and this here.
If He Ejaculates
I dunno. If you’re not a selfish partner, this one seems like common sense because, if a man “completes the act”, that means he was able to “get his” and that seems like something any good lover would want for their partner (the only thing better? Experiencing it with him at the same time!). However, what I did find interesting is there’s a greater chance that a woman will orgasm herself if she knows that her partner came.
In fact, one study said that a little over 50 percent of women thought that it was very important that their partner ejaculated during sex while a little over 22 percent said that they experienced more intense orgasms if he came during intercourse.
Some studies say that the sensation of the sperm inside of the vagina may play a role in this; however, since that means that you must engage in unprotected sex (check out “Thinking About Going Condom-Free? Read This Before You Do.”) in order to vouch for this one…I’ll just say to use forethought, wisdom and definitely get tested before attempting it.
BONUS: How Your Friends See Him
The more you learn, boy. Have any of you heard of the sexy son hypothesis before? The gist is this: If you create children with someone who other women find attractive, the belief is that you will end up having sons who have that same quality. And yes, being with someone who you think is appealing to other women — seems to increase the chances of you having an orgasm too (chile).
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Hmph. It’s intel like this that explains why so many think pieces say that the brain is the most powerful sex organ that we have. Anyway, if you’re someone who wants to have more orgasms or more intense orgasms, perhaps take some of this data to heart. For all you know, it might be the blueprint that you’ve been looking for all along.
Thoughts? Comments. Confirmations? LOL.
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