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Fatigue, feeling cold and looking pale may be symptoms of an iron deficiency and anemia. Find out about possible causes and treatments that can restore your iron levels. If these statements are true, mention it to your doctor. Constant chills and fatigue may mean you are low on iron. Cleveland Clinic is a non-profit academic medical center.
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Anemia and thrombocytopenia as initial symptoms of occult breast cancer with bone marrow metastasis

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Macrocytic anemia: Symptoms, causes, and types

Occult breast cancer OBC is a rare type of breast cancer without any symptoms in the breast and is often presented with initial symptoms of axillary lymph node metastasis or other metastases. The low incidence rates of OBC make it a great challenge to diagnose and cure. Our case was a year-old female affected by dizziness and fatigue for nearly a month. Blood tests revealed anemia and thrombocytopenia, and pathological results of a bone marrow biopsy confirmed the metastatic carcinoma. Doctor advised her to check whether the bone metastases existed in order to choose an appropriate treatment. It is highly regrettable that the patient gave up all treatments and left the hospital.
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Macrocytic anemia: Symptoms and treatment

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Macrocytic anemia is a type of anemia that causes unusually large red blood cells. Like other types of anemia, macrocytic anemia means that the red blood cells also have low hemoglobin. Hemoglobin is an iron-containing protein that transports oxygen around the body. Deficiencies in vitamin B or folate often cause macrocytic anemia , so it is sometimes called vitamin deficiency anemia. In this article, we look at the causes and symptoms of macrocytic anemia, the treatment options, and how to prevent complications.
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