- Question from Joan G: What is the normal hemoglobin range?
- Answers - Russell Portenoy What is normal depends on the lab. Most women with hemoglobin above 14 or 14.5 would be considered to have a normal level. There are some new data to suggest that hemoglobin levels in the range of 10-12 are critically important in terms of the onset of fatigue. Many oncologists were trained to consider hemoglobin of 11 or 11.5 to be so close to normal that it is clinically insignificant. Most doctors do still not appreciate this new information that hemoglobin in that range might be an important cause of fatigue.
- Marisa Weiss, M.D. When would you consider using a product like Procrit?
- Russell Portenoy Based on recent studies, it's my belief that a patient with severe fatigue who has a hemoglobin less than 12 and who has no other treatable cause of the fatigue such as poor nutrition or depression or mood disturbance might be considered for a clinical trial of this drug.
On Wednesday, March 21, 2001, our Ask-the-Expert Online Conference was called Ease Fatigue, Boost Energy. Lillian Nail, Ph.D., R.N., Russel Portenoy, M.D., and Marisa Weiss, M.D. answered your questions about ways to manage fatigue and increase energy levels.
The materials presented in these conferences do not necessarily reflect the views of Breastcancer.org. A qualified healthcare professional should be consulted before using any therapeutic product or regimen discussed. All readers should verify all information and data before employing any therapies described here.
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