Iron deficiency: Even with a rich diet, iron deficiency can occur due to inadequate absorption or increased requirements.
Vitamin deficiencies: Lack of vitamin B12, folate, or vitamin C can impact hemoglobin production.
Menstruation and pregnancy: Increased iron requirements during these times can lead to low hemoglobin.
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Chronic blood loss: Internal bleeding or heavy menstrual periods can cause low hemoglobin.
Inherited disorders: Traits like thalassemia or sickle cell disease can affect hemoglobin production.
Infections and inflammation: Chronic infections or inflammation can reduce hemoglobin levels.
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Kidney disease: Impaired kidney function can lead to decreased erythropoietin production, causing low hemoglobin.
Poor diet quality: Even with a rich diet, poor nutrient bioavailability or absorption can occur.
Underlying medical conditions: Certain conditions, like hypothyroidism or rheumatoid arthritis, can impact hemoglobin levels.