
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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I’ve gotta say that, for the most part, my friends are pretty damn chill. There is one (major) exception, though — and it’s an odd one. Even after all these years and countless times of me giving them the same answer, if there is a time when they think they are my mama, it’s when they see an email come through at an odd hour of the night. Then, all of a sudden, here they come asking me when do I get sleep if I’m emailing at (say) three in the morning.
Again, the answer never changes because, if there is one thing that Shellie Reneé Warren is gonna get, it’s 6-8 (sometimes nine) hours of sleep. However, since my chronotype (check out “Ever Wonder What Personality Traits Make Someone A 'Morning Person'?”) means that I like/prefer to write in the wee hours of the morning, sometimes I will sleep for the night for five hours and take a nap in the day. And y’all, that is just fine with me because I am well aware of the fact that napping does everything from give me more energy, heighten my alertness and even make me more creative to decrease stress levels, strengthen immunity, and reduce my chances of experiencing a heart attack or stroke.
My problem is I will oftentimes go “overboard” with my daytime zzz’s. What I mean by that is, in order to get the most out of a nap, they say thatyou shouldn’t sleep for longer than 25 minutes or so; otherwise, you could wake up feeling sluggish (I don’t but…). Also, it can make resting, soundly, at night a bit of a struggle.
So, what are you saying, Shellie? We should get quickies in? Yeah. And it’s funny that the word “quickie” would come up because just like a sex quickie can do wonders for you (and it can — check out “12 Super Solid Reasons To Have A Quickie Every Single Day”), it’s a full-circle moment when I say that something that can improve the quality of your sex life is to have a power nap (a nap that lasts between 10-30 minutes).
Wanna know how the two things correlate? Honestly, it’s no secret that sleep and sex work together to optimize both (check out “6 Fascinating Ways Sex And Sleep Definitely Go Hand In Hand”). Today, though, we’re going to tap into how a nap, specifically, can have you partaking in some of the best sex that you’ve experienced in a minute. I’ll explain.
Naps Reduce Stress
If you’re feeling super stressed out right now, you are not alone. There is plenty of data out here that says that most of us are stressed for at least a couple of reasons at a time — and that can impact your sexual health on a few levels. For one thing, it can bring about feelings of depression and/or anxiety. Stress can also throw your hormone levels off (including your cycle) which can weaken your libido. Stress can make you want to put distance between you and your partner (yes, literally).
Stress can also make it challenging to get aroused or to have an orgasm. And just what can help to decrease stress? Taking a nap. Since sleep has a way of helping you to “get off of the clock” and relax a bit, that can lower your stress levels and “reset” your body so that you are calmer — and that, in turn, can do wonders for your sex drive and ultimately your sex life.
Naps Improve Your Mood
There is one person in my life, and fairly 80 percent of the time, she’s in a super good mood. Oh, but let that girl go without sleep, and…who is this woman? LOL. There’s research behind why this happens. When a person is sleep-deprived, it messes with their brain chemicals, and that can amplify emotions like anger, restlessness and sadness. In fact, one study revealed that people who had their sleep disrupted throughout the night, they ended up having their positive outlook on life reduced by about 30 percent.
And geeze, who wants to have sex when they’re not feeling very good? Anyway, since serotonin is a neurotransmitter that helps to regulate your moods, your sleep patterns, and your libido and sleep is what helps to keep it in balance — by taking a nap, not only can it help you to feel better, it can also increase your desire for sex (it can also build up your endurance which is also…sexually beneficial).
Naps Increase Your Focus and Concentration
Something that some of my clients bring up is how, when it comes to having sex, sometimes the flesh is willing while the spirit is weak because, although the desire for intimacy is there, so much is going on that they aren’t able to get still enough to focus on experiencing copulation with their partner. This also tracks because, when you don’t have enough rest, your brain finds itself not working in harmony and that can make it hard to do everything from approaching life with a sense of flexibility to making necessary decisions.
Certain data also reveal that a lack of rest can cause you to have a really poor attention span and not process things in context (the more you know). So, if you really want to get some yet it’s hard for you to focus long enough to make it happen, ask your bae to lie down with you and take a nap. Between the sleep and the snuggling (check out “Fall's Coming: 8 Wonderful Health Benefits Of Cuddling”) — you may wake up with your mind and body totally on the same page. #wink
Naps Can Make You Feel Better About Your Body
Even if, overall, you feel really good about your body, I think that we all have moments when we feel less attractive than others — and who wants to have sex when they don’t really feel…very sexy? Well, something else that sleep, in general, can do is increase your confidence in your body.
For one thing, if you want to lose a few pounds, sleep can actually make that happen by helping your body metabolize the glucose (sugar) that’s in it so that you can better manage your appetite. Other studies go on to share that since sleep deprivation can impact one’s mental health and emotional stability in a negative way, of course, getting enough rest would increase body positivity.
Shoot, science even goes so far as to say that insomnia can cause people to have an elevated level of dissatisfaction when it comes to their body image. Don’t take their word for it, though. Look in the mirror before a nap. Then look in a mirror after waking up from me. Do you feel better? I’d be surprised if you don’t.
Makes Your Brain Bigger…Which Could Make Your Orgasms Better
I saved the best for last by design. Now if you’re wondering how in the world a nap can improve (and possibly increase) your orgasms — oh, there is a method to the madness…trust. For starters, the saying that your biggest sex organ is your brain? That isn’t a myth. Long story less long, the brain is what houses your central nervous system and that is what controls how men and women sexually function (yes, literally).
And since the brain also releases feel-good chemicals like dopamine, serotonin, and oxytocin during sex and brain activity significantly increases in women during sexual activity (especially right before she orgasms) — well, would it trip you out to know that when you take a nap, your brain actually expands? A bigger brain (that’s healthy) can potentially intensify your sexual experiences (and your climaxes) — and who doesn’t want that to go down?
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Like I said earlier, I never have to be convinced to get a nap in. However, if your sex life has been a bit stagnant lately, you’ve been feeling a little sluggish and you’re not sure what to do — I’m hoping that a nap can get you right.
There’s enough science to prove that it can. All you need to do is give it a shot.
Now where’s your pillow and sleep mask, chile?
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