{"id":9379,"date":"2024-09-28T15:09:49","date_gmt":"2024-09-28T12:09:49","guid":{"rendered":"https:\/\/medilab.km.ua\/?p=9379"},"modified":"2026-05-27T11:54:59","modified_gmt":"2026-05-27T08:54:59","slug":"anemia-analysis-to-detect-iron-vitamin-and-oxygen-deficiency","status":"publish","type":"post","link":"https:\/\/medilab.km.ua\/en\/anemia-analysis-to-detect-iron-vitamin-and-oxygen-deficiency\/","title":{"rendered":"Anemia test: how to detect iron, vitamin and oxygen deficiency"},"content":{"rendered":"<p class=\"\" data-start=\"385\" data-end=\"759\">Anemia is one of the most common conditions in the world. It affects about 30% of the world&#039;s population, but often goes unnoticed. A person simply gets used to fatigue, pallor, shortness of breath. And only when the symptoms begin to interfere with work or an active life, the question arises: &quot;Is this anemia?&quot; In fact, it is easy to check. One analysis can give an answer and prevent complications.<\/p>\n<h2 class=\"\" data-start=\"761\" data-end=\"804\">Anemia: what it is and why diagnosis is important<\/h2>\n<p class=\"\" data-start=\"806\" data-end=\"1158\">Anemia is <strong data-start=\"818\" data-end=\"876\">decrease in the number of hemoglobin or red blood cells in the blood<\/strong>, which leads to impaired oxygen transport. In this case, the body&#039;s cells literally &quot;suffocate.&quot; The brain, heart, muscles - everything works in oxygen deficiency mode. The consequences - reduced performance, deterioration of cognitive functions, metabolic disorders, organ damage.<\/p>\n<p class=\"\" data-start=\"1160\" data-end=\"1327\">Early diagnosis of anemia allows not only to restore health, but also to avoid <strong data-start=\"1235\" data-end=\"1327\">complications such as heart failure, chronic brain hypoxia, and decreased immunity.<\/strong><\/p>\n<h2 class=\"\" data-start=\"1329\" data-end=\"1395\">Symptoms of anemia: how they differ in adults, children and pregnant women<\/h2>\n<p class=\"\" data-start=\"1397\" data-end=\"1492\">Anemia manifests itself in different ways, depending on age, gender, and the body&#039;s compensatory capabilities.<\/p>\n<p class=\"\" data-start=\"1494\" data-end=\"1736\"><strong data-start=\"1494\" data-end=\"1509\">In adults:<\/strong><br data-start=\"1509\" data-end=\"1512\" \/>\u2013 Constant fatigue, weakness, drowsiness<br data-start=\"1551\" data-end=\"1554\" \/>\u2013 Paleness of the skin and mucous membranes<br data-start=\"1589\" data-end=\"1592\" \/>\u2013 Throbbing headache<br data-start=\"1618\" data-end=\"1621\" \/>\u2013 Increased sensitivity to cold<br data-start=\"1653\" data-end=\"1656\" \/>\u2013 Palpitations, shortness of breath on exertion<br data-start=\"1694\" data-end=\"1697\" \/>\u2013 Irritability, difficulty concentrating<\/p>\n<p class=\"\" data-start=\"1738\" data-end=\"1880\"><strong data-start=\"1738\" data-end=\"1750\">In children:<\/strong><br data-start=\"1750\" data-end=\"1753\" \/>\u2013 Poor appetite<br data-start=\"1769\" data-end=\"1772\" \/>\u2013 Growth and development delay<br data-start=\"1799\" data-end=\"1802\" \/>\u2013 Frequent infections<br data-start=\"1818\" data-end=\"1821\" \/>\u2013 Poor performance in school<br data-start=\"1848\" data-end=\"1851\" \/>\u2013 Brittle nails, dull hair<\/p>\n<p class=\"\" data-start=\"1882\" data-end=\"2020\"><strong data-start=\"1882\" data-end=\"1897\">In pregnant women:<\/strong><br data-start=\"1897\" data-end=\"1900\" \/>\u2013 Dizziness<br data-start=\"1915\" data-end=\"1918\" \/>\u2013 Muscle weakness<br data-start=\"1937\" data-end=\"1940\" \/>\u2013 Pressure drop<br data-start=\"1956\" data-end=\"1959\" \/>\u2013 Sleep disturbances<br data-start=\"1974\" data-end=\"1977\" \/>\u2013 Fetal growth retardation, risk of hypoxia<\/p>\n<h2 class=\"\" data-start=\"2022\" data-end=\"2068\">What tests are needed to diagnose anemia?<\/h2>\n<p class=\"\" data-start=\"2070\" data-end=\"2210\">Diagnosis of anemia begins with <strong data-start=\"2103\" data-end=\"2137\"><a href=\"https:\/\/medilab.km.ua\/en\/analysis\/hematological-panel\/zagalnyj-rozgornutyj-analiz-krovi-avtomatychnyj-analyzer-wbc-lym-mid-grn-lym-mid-grn-rbc-hb-hct-mcv-mch-mchc-rdw-plt-pct-mpv-pdw-3-histogramy-wbc-rbc-plt-shoe-ruchnyj-pidrahunok-lejkotsytarnoyi-fo\/\">complete blood count<\/a> (ZAK)<\/strong>, and then \u2014 depending on the results \u2014 additional examinations are prescribed:<\/p>\n<ul data-start=\"2212\" data-end=\"2621\">\n<li class=\"\" data-start=\"2212\" data-end=\"2256\">\n<p class=\"\" data-start=\"2214\" data-end=\"2256\"><strong data-start=\"2214\" data-end=\"2233\">Hemoglobin (Hb)<\/strong> \u2014 the main indicator.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2257\" data-end=\"2326\">\n<p class=\"\" data-start=\"2259\" data-end=\"2326\"><strong data-start=\"2259\" data-end=\"2279\">Hematocrit (Hct)<\/strong> \u2014 reflects the ratio of cells and plasma.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2327\" data-end=\"2390\">\n<p class=\"\" data-start=\"2329\" data-end=\"2390\"><strong data-start=\"2329\" data-end=\"2349\">Red blood cells (RBC)<\/strong> \u2014 the number of red blood cells.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2391\" data-end=\"2469\">\n<p class=\"\" data-start=\"2393\" data-end=\"2469\"><strong data-start=\"2393\" data-end=\"2428\">MCV (mean corpuscular volume)<\/strong> \u2014 determines micro- or macrocyticity.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2470\" data-end=\"2532\">\n<p class=\"\" data-start=\"2472\" data-end=\"2532\"><strong data-start=\"2472\" data-end=\"2485\">MCH, MCHC<\/strong> \u2014 indicators of hemoglobin content in erythrocytes.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2533\" data-end=\"2621\">\n<p class=\"\" data-start=\"2535\" data-end=\"2621\"><strong data-start=\"2535\" data-end=\"2551\"><a class=\"wpil_keyword_link\" href=\"https:\/\/medilab.km.ua\/en\/analysis\/hematological-panel\/reticulocytes\/\"   title=\"Reticulocytes\" data-wpil-keyword-link=\"linked\"  data-wpil-monitor-id=\"152\">Reticulocytes<\/a><\/strong> \u2014 young erythrocytes, their level indicates bone marrow activity.<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"2623\" data-end=\"2642\">The following are assigned:<\/p>\n<ul data-start=\"2644\" data-end=\"2968\">\n<li class=\"\" data-start=\"2644\" data-end=\"2693\">\n<p class=\"\" data-start=\"2646\" data-end=\"2693\"><a href=\"https:\/\/medilab.km.ua\/en\/analysis\/biochemical-blood-tests\/anemia-diagnosis\/ferritin\/\"><strong data-start=\"2646\" data-end=\"2657\">Ferritin<\/strong> <\/a>\u2014 the main marker of iron stores.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2694\" data-end=\"2766\">\n<p class=\"\" data-start=\"2696\" data-end=\"2766\"><strong data-start=\"2696\" data-end=\"2764\">Serum iron, TIBC (total iron binding capacity)<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"2767\" data-end=\"2844\">\n<p class=\"\" data-start=\"2769\" data-end=\"2844\"><strong data-start=\"2769\" data-end=\"2801\">Vitamin B12, folic acid<\/strong> \u2014 for the diagnosis of megaloblastic anemia.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2845\" data-end=\"2893\">\n<p class=\"\" data-start=\"2847\" data-end=\"2893\"><strong data-start=\"2847\" data-end=\"2865\">Bilirubin, LDH<\/strong> - if hemolysis is suspected.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2894\" data-end=\"2968\">\n<p class=\"\" data-start=\"2896\" data-end=\"2968\"><strong data-start=\"2896\" data-end=\"2929\">Fecal occult blood test<\/strong> - with probable chronic blood loss.<\/p>\n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9381\" src=\"https:\/\/medilab.km.ua\/wp-content\/themes\/woodmart\/images\/lazy.svg\" data-src=\"https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/0705-3.jpg\" alt=\"laboratory form with hemoglobin level marked\" width=\"1162\" height=\"654\" srcset=\"\" data-srcset=\"https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/0705-3.jpg 1162w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/0705-3-150x84.jpg 150w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/0705-3-600x338.jpg 600w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/0705-3-300x169.jpg 300w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/0705-3-1024x576.jpg 1024w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/0705-3-768x432.jpg 768w\" sizes=\"auto, (max-width: 1162px) 100vw, 1162px\" \/><\/p>\n<h2 class=\"\" data-start=\"2970\" data-end=\"3026\">Table: what tests are needed for different types of anemia<\/h2>\n<div class=\"_tableContainer_16hzy_1\">\n<div class=\"_tableWrapper_16hzy_14 group flex w-fit flex-col-reverse\">\n<table class=\"w-fit min-w-(--thread-content-width)\" data-start=\"3028\" data-end=\"3590\">\n<thead data-start=\"3028\" data-end=\"3074\">\n<tr data-start=\"3028\" data-end=\"3074\">\n<th data-start=\"3028\" data-end=\"3045\" data-col-size=\"sm\"><strong data-start=\"3030\" data-end=\"3044\">Type of anemia<\/strong><\/th>\n<th data-start=\"3045\" data-end=\"3059\" data-col-size=\"sm\"><strong data-start=\"3047\" data-end=\"3058\">Reasons<\/strong><\/th>\n<th data-start=\"3059\" data-end=\"3074\" data-col-size=\"md\"><strong data-start=\"3061\" data-end=\"3072\">Analyses<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody data-start=\"3123\" data-end=\"3590\">\n<tr data-start=\"3123\" data-end=\"3209\">\n<td data-start=\"3123\" data-end=\"3145\" data-col-size=\"sm\"><strong data-start=\"3125\" data-end=\"3144\">Iron deficiency<\/strong><\/td>\n<td data-start=\"3145\" data-end=\"3179\" data-col-size=\"sm\">Diet, pregnancy, blood loss<\/td>\n<td data-start=\"3179\" data-end=\"3209\" data-col-size=\"md\">ZAK, ferritin, iron, TIBC<\/td>\n<\/tr>\n<tr data-start=\"3210\" data-end=\"3290\">\n<td data-start=\"3210\" data-end=\"3230\" data-col-size=\"sm\"><strong data-start=\"3212\" data-end=\"3229\">Megaloblastic<\/strong><\/td>\n<td data-start=\"3230\" data-end=\"3256\" data-col-size=\"sm\">B12 or folate deficiency<\/td>\n<td data-start=\"3256\" data-end=\"3290\" data-col-size=\"md\">ZAK (high MCV), B12, folate<\/td>\n<\/tr>\n<tr data-start=\"3291\" data-end=\"3371\">\n<td data-start=\"3291\" data-end=\"3309\" data-col-size=\"sm\"><strong data-start=\"3293\" data-end=\"3308\">Hemolytic<\/strong><\/td>\n<td data-start=\"3309\" data-end=\"3334\" data-col-size=\"sm\">Destruction of red blood cells<\/td>\n<td data-start=\"3334\" data-end=\"3371\" data-col-size=\"md\">ZAK, bilirubin, LDH, reticulocytes<\/td>\n<\/tr>\n<tr data-start=\"3372\" data-end=\"3482\">\n<td data-start=\"3372\" data-end=\"3402\" data-col-size=\"sm\"><strong data-start=\"3374\" data-end=\"3401\">Anemia of chronic disease<\/strong><\/td>\n<td data-start=\"3402\" data-end=\"3436\" data-col-size=\"sm\">Oncopathologies, autoimmune conditions<\/td>\n<td data-start=\"3436\" data-end=\"3482\" data-col-size=\"md\">ZAK, ferritin (normal or elevated), CRP<\/td>\n<\/tr>\n<tr data-start=\"3483\" data-end=\"3590\">\n<td data-start=\"3483\" data-end=\"3500\" data-col-size=\"sm\"><strong data-start=\"3485\" data-end=\"3499\">Aplastic<\/strong><\/td>\n<td data-start=\"3500\" data-end=\"3528\" data-col-size=\"sm\">Hematopoiesis suppression<\/td>\n<td data-start=\"3528\" data-end=\"3590\" data-col-size=\"md\">ANC (pancytopenia), reticulocytes, bone marrow aspiration<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"sticky end-(--thread-content-margin) h-0 self-end select-none\">\n<div class=\"absolute end-0 flex items-end\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2 class=\"\" data-start=\"3592\" data-end=\"3623\">How to interpret the results<\/h2>\n<p class=\"\" data-start=\"3625\" data-end=\"4016\">\u2013 <strong data-start=\"3627\" data-end=\"3690\">Low hemoglobin (&lt;120 g\/L in women, &lt;130 g\/L in men)<\/strong> \u2014 basis for further diagnostics<br data-start=\"3727\" data-end=\"3730\" \/>\u2013 <strong data-start=\"3732\" data-end=\"3743\">MCV &lt;80<\/strong> \u2014 microcytic anemia (probably iron deficiency)<br data-start=\"3793\" data-end=\"3796\" \/>\u2013 <strong data-start=\"3798\" data-end=\"3810\">MCV &gt;100<\/strong> \u2014 macrocytic anemia (B12 or folate deficiency)<br data-start=\"3858\" data-end=\"3861\" \/>\u2013 <strong data-start=\"3863\" data-end=\"3894\">Low ferritin (&lt;30 ng\/mL)<\/strong> \u2014 a reliable sign of iron deficiency<br data-start=\"3930\" data-end=\"3933\" \/>\u2013 <strong data-start=\"3935\" data-end=\"3981\">Normal ferritin but low hemoglobin<\/strong> \u2014 possibly anemia of chronic disease<\/p>\n<h2 class=\"\" data-start=\"4018\" data-end=\"4054\">Who should get checked regularly?<\/h2>\n<p class=\"\" data-start=\"4056\" data-end=\"4432\">\u2013 <strong data-start=\"4058\" data-end=\"4084\">Women of childbearing age<\/strong> \u2014 annually, especially with heavy menstruation<br data-start=\"4128\" data-end=\"4131\" \/>\u2013 <strong data-start=\"4133\" data-end=\"4144\">Pregnant women<\/strong> \u2014 every trimester<br data-start=\"4164\" data-end=\"4167\" \/>\u2013 <strong data-start=\"4169\" data-end=\"4224\">People with chronic diseases (gastrointestinal tract, kidneys, rheumatism)<\/strong> \u2014 every 3\u20136 months<br data-start=\"4244\" data-end=\"4247\" \/>\u2013 <strong data-start=\"4249\" data-end=\"4268\">Children under 5 years old<\/strong> \u2014 control as needed (poor appetite, fatigue, poor weight)<br data-start=\"4325\" data-end=\"4328\" \/>\u2013 <strong data-start=\"4330\" data-end=\"4353\">Vegans\/vegetarians<\/strong> \u2014 once a year, especially B12 levels<br data-start=\"4387\" data-end=\"4390\" \/>\u2013 <strong data-start=\"4392\" data-end=\"4402\">Donors<\/strong> \u2014 before each blood donation<\/p>\n<h2 class=\"\" data-start=\"4434\" data-end=\"4464\">How to prepare for the analysis<\/h2>\n<p class=\"\" data-start=\"4466\" data-end=\"4709\">\u2013 Donate blood <strong data-start=\"4481\" data-end=\"4518\">in the morning on an empty stomach (8\u201312 hours without food)<\/strong><br data-start=\"4518\" data-end=\"4521\" \/>\u2013 Eliminate alcohol and fatty foods for 2 days<br data-start=\"4561\" data-end=\"4564\" \/>\u2013 Do not take iron-containing medications without a doctor&#039;s advice.<br data-start=\"4620\" data-end=\"4623\" \/>\u2013 Postpone the test if there is an acute infection \u2014 it may temporarily affect the results<\/p>\n<h2 class=\"\" data-start=\"4711\" data-end=\"4751\">What to do after receiving the results<\/h2>\n<p class=\"\" data-start=\"4753\" data-end=\"5119\">\u2013 <strong data-start=\"4755\" data-end=\"4786\">Do not self-medicate.<\/strong> \u2014 it is important to accurately determine the type of anemia<br data-start=\"4823\" data-end=\"4826\" \/>\u2013 If iron deficiency is confirmed, choose an iron preparation taking into account tolerability, duration of administration, and dietary adjustments.<br data-start=\"4960\" data-end=\"4963\" \/>\u2013 Repeated control after 1\u20133 months \u2014 the dynamics of hemoglobin and ferritin are assessed<br data-start=\"5044\" data-end=\"5047\" \/>\u2013 If necessary, referral to a hematologist, gastroenterologist, or nephrologist<\/p>\n<p class=\"\" data-start=\"5121\" data-end=\"5328\">Anemia isn&#039;t just about iron. Sometimes it&#039;s <strong data-start=\"5159\" data-end=\"5190\">signal of more serious violations<\/strong>, which are revealed precisely thanks to the simple <a href=\"https:\/\/medilab.km.ua\/en\/how-to-pass-the-analysis\/\" title=\"How to take the test\"  data-wpil-monitor-id=\"403\">analysis<\/a> blood. Therefore, timely testing is the key to long-term well-being and a full life.<\/p>","protected":false},"excerpt":{"rendered":"<p>Anemia is one of the most common conditions in the world. It affects about 30% of the world&#039;s population, but often goes unnoticed. A person simply<\/p>","protected":false},"author":627,"featured_media":9380,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9379","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts\/9379","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/users\/627"}],"replies":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/comments?post=9379"}],"version-history":[{"count":0,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts\/9379\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/media\/9380"}],"wp:attachment":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/media?parent=9379"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/categories?post=9379"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/tags?post=9379"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}