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(a) Blood loss anemia Intraoperative blood loss Repeated blood drawsphlebotomy Gastrointestinal Menstrual blood losses (b) Decreased RBC production Decreased effective production Iron deficiencyabsolute or functional Folate deficiencymedications Pure red cell aplasiaparvo virus, medications Bone marrow suppressionmedications (Mycophenolate, Imuran), infections (viral) Poor allograft functionerythropoietin deficiency Ineffective erythropoiesis Folate deficiency Sideroblastic anemiaINH and other drugs (c) Increased RBC destruction Microangiopathic hemolytic anemiacalcineurin inhibitors, Sirolimus G6PD deficiencysulfa medications Blood Loss Anemia Blood loss is a common cause of anemia in kidney transplant patients

It is completely optional

Individuals with demanding schedules or those who struggle to maintain adequate vitamin levels through diet alone may also find this treatment helpful

Yesand in fact, you should

Your experience is unique to your body

That distinction is the whole article