Hi, @peach414144 You sure we are not closely related somehow? Anyway, I have also been trying to fight a low-grade anemia for at least 60 years. A few years ago a medico in a hospital someplace (kiddingly, I thought) asked if I thought I might have “a plastic anemia”. Knowing that he was something of a clown, I just laughed it off. I did not know what he was talking about, but he was certainly telling a joke….I thought. Only recently I have begun to realize that “aplastic anemia” is not a joke, but a serious medical problem which often comes as part of some autoimmune disorder, such as mis-folded protein deposit disease, etc. Like rheumatoid arthritis, etc. Anyway, I have low levels of red blood cells, hematocrit, hemoglobin. So yes, for you and me both, I would suspect that anemia would be part of our packages. Mayo says that a “strong suspicion” that the villain is such a critter as “a(-)plastic anemia!” is a pre-requisite for diagnosis and treatment. The strong suspicion seems to be, in itself, a bit of a symptom. Sounds to me that you are there already.