What if your hemoglobin level is 8 but RBC count normal 4.49 this anemia or worse?

A hemoglobin level of 8 g/dL and a normal red blood cell (RBC) count of 4.49 million cells per microliter (µL) could indicate a type of anemia called microcytic anemia, which is characterized by smaller than normal red blood cells.

Hemoglobin is a protein in red blood cells that carries oxygen. When hemoglobin levels are low, the body cannot transport oxygen effectively to its tissues and organs, which can lead to symptoms such as fatigue, weakness, shortness of breath, and dizziness.

The normal hemoglobin level for adults is typically between 13.5 and 17.5 g/dL for men and 12 and 15.5 g/dL for women. Therefore, a hemoglobin level of 8 g/dL is considered low and indicates anemia.

While the RBC count is within the normal range, the low hemoglobin level suggests that the red blood cells are not carrying enough hemoglobin. This can be due to several underlying factors, such as:

Iron deficiency: Iron is essential for the production of hemoglobin. If you do not get enough iron in your diet, your body cannot produce enough hemoglobin, leading to iron deficiency anemia.

Thalassemia: Thalassemia is a group of inherited blood disorders characterized by abnormal hemoglobin production. In thalassemia, the body produces less or dysfunctional hemoglobin, leading to anemia.

Sickle cell anemia: Sickle cell anemia is another inherited blood disorder in which abnormal hemoglobin (hemoglobin S) causes red blood cells to become sickle-shaped. These abnormal red blood cells can break down prematurely, leading to anemia.

Chronic diseases: Certain chronic diseases, such as cancer, kidney disease, and autoimmune disorders, can also lead to anemia.

It is important to consult a healthcare professional to further evaluate the cause of your low hemoglobin level and to determine the appropriate treatment. They may recommend tests such as a complete blood count (CBC) with a differential, iron studies, or hemoglobin electrophoresis to identify the underlying cause of your anemia.