Fatigue, weakness, and decreased performance often manifests before anemia presents itself because cells are struggling to create enough energy to meet demand.
Over and over, I see patients and athletes suffering with chronic symptoms that are related to iron deficiency and cured by simple iron repletion.
It should be noted that even though results from a CBC panel may show hemoglobin in the normal range, iron deficiency still decreases hemoglobin synthesis.
If you are underperforming, get your CBC, transferrin saturation, TIBC and ferritin levels checked.
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