I am a 30 year old woman. I am 22 weeks pregnant. I have had blood work done today, which came out normal except for the following values. Hemoglobin 10.8 (11.7-15.5), RBC 3.79 (3.8-5), hematocrit 32% (35-45) and reticulocyte production index 0.72. My serum iron is normal at 56 (50-170). I have noticed my RBC and hemoglobin levels dropping during the last two three months. My RBC and hemoglobin were 5.1 and 14 respectively for many years. They were the same even when I was 18 weeks pregnant last year, but I lost that pregnancy. Is this anemia typical of pregnancy or should I worry about some marrow disease? I am a bit of a hypochondriac and that reticulocyte index being low makes me apprehensive. What treatment should I follow?
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