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Emphysema and anemia are not related. However both can cause a lower oxygen level in the blood and organsOrgan-1 nr. With emphysema it can be difficult for oxygen to get from the lungs into the blood. With anemia there can be a lower hemoglobinHba1c Hemoglobin Hemoglobin derivatives Hemoglobin electrophoresis Rbc indices Sickle cell anemia (hgb) level in the blood. This lowers the blood’s ability to carry oxygen. Testing needs to be done to determine the cause of your mother-in-law’s low hgb. Only then can steps be taken to increase the amount of hgb in her blood.