Thank you for requesting me, Dr. Thomas. I have a different answer for you.
This is a low hemoglobin. Your MCV is low.
These are abnormal labs. And,the fatigue is concerning.
You need further work up.
If your body is not absorbing iron, and this is confirmed by testing, you need testing for celiac disease. You need to have iron and ferritin checked.
You also need the stool checked for blood.
If your doctor has not given you a diagnosis for this problem, you need to get a referral to a specialist, the type would be hematology, or GI, depending on exam and testing findings.
As you know, I am a double board certified US doctor.
You can find me anytime, use a long request lock and "for Dr. Thomas only" in the title. Do this to get fast, correct, safe, up to date and comprehensive, standard of care medical answers.
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Let me know now it goes.