Anemia
Anemia is a reduction in the number of red blood cells circulating throughout the body. Red blood cells (also known as erythrocytes) are produced in the bone marrow and contain large amounts of the protein hemoglobin. Hemoglobin carries oxygen from the lungs to the rest of the body and helps remove carbon dioxide from the body. The NCCN recommends diagnosing anemia according to hemoglobin levels and considers a hemoglobin count of 10-11 g/dL mild anemia, 8-10 g/dL moderate anemia and less than 8 g/dL severe anemia.(1)

Development and Symptoms
Anemia can develop from cancer or the treatments used for cancer. It can have significant effects on treatment options, patient quality of life and patient survival. Therefore it is important to inform the doctor if any of the following symptoms are present.(2)
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Unusually pale skin or a hypersensitivity to cold
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Dizziness, headaches or mood changes
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Shortness of breath or labored breathing
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Rapid heartbeat or heart palpitations
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Anorexia or indigestion
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Menstrual irregularities or loss of libido
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Fatigue, including a lack of energy, weakness, difficulty concentrating, irritability, or sleep disturbances
Treatments for anemia include:
Epoetin (EPOGEN® or PROCRIT®)
Darbepoetin (Aranesp®)