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Fatigue
I am 42 year old female and suffering from terrible fatigue.  My labs show normal ranges my hemoglobin is 13.4 and my MCV is 94.9.  I just knew I would be suffering from anemia.  So I am shocked that my numbers are in normal ranges.  My nails are very brittle and splitting apart, huge bruises or no reason and then the fatigue.  Any suggestions on other labs I should request?  I am so upset and desperate for answers.  Just feel terrible and don't have any energy for my children.  
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5228453 tn?1365389224
Hello, I wanted to email you that I' am anemia I have been since I have been a kid. there is not much you can do sorry to tell you this. You can take vitiam b over the counter will help you or if you can get your dr to give you vitiam b shot that would really help. Hope you feel better as well as me.  
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So sorry to hear about the fatigue. How long has it been? Has it become chronic?

If it were me I'd be looking at these issues and lab tests first:
- dietary issues (intolerance to gluten, casein, etc...)
- iron/hemochromatosis (serum iron, TIBC, UIBC, transferrin saturation %, ferritin)
- thyroid/hypothyroidism (free t3, free t4, reverse T3, thyroid peroxidase antibodies, thyroglobulin antibodies)
- adrenal function (saliva cortisol, DHEA)
- nutrient deficiency, especially B12 and folate (Metametrix Organix)

Take care
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