Hello, I am a 29 year old female. I take glycomet and glador 1 for diabetes, thyronorm 125 for thyroid, yasmin for pcod and dilzem cd 120 for my supraventricular tachycardia. Recently I did a blood test. My sugar level is under control. My thyroid is 9.02. But my hemoglobin is 7. I was wondering if the medicines I take can lead to anemia or is the cause something different?

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Hello, thanks for the query. I have seen the details given and understand your concern. Low hemoglobin is unlikely to occur because drugs being taken. It is mostly related to loss of blood during menstruation and improper nutrition. With tsh at 9.02 mu/l, your hypothyroidism is not in control. Ideally tsh should be between 3 to 4 mu/l, when all the symptoms are in check. You have mentioned that" my sugar level is in check" but no actual numbers are given, so difficult to comment. For controlling anemia or improving hemoglobin, there is a need to take appropriate iron, folic acid and b12 combination for over 6 months. If hemoglobing goes further down then you may need infusion of packed cells (rbcs). There are no details of weight and height also. Thanks.  

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