Understanding Anemia: Root Causes, Types, and How to Reclaim Vitality

Understanding Anemia: Root Causes, Types, and How to Reclaim Vitality

Anemia is a common yet often misunderstood condition that affects millions worldwide. Its symptoms—fatigue, weakness, and pale skin—can significantly impact quality of life. However, anemia is not just about low iron; it’s a sign of deeper imbalances in the body. This article explores the various types of anemia, the root causes, and how factors like parasitic infections and low stomach acid create a fertile ground for anemia to thrive. Let’s dig into how to identify and address anemia to restore vitality and health.


What Is Anemia?

Anemia occurs when the body doesn’t have enough healthy red blood cells or hemoglobin to carry oxygen to tissues, leaving you fatigued and weak. While iron deficiency anemia is the most well-known type, anemia comes in different forms with various underlying causes.


Types of Anemia

Iron Deficiency Anemia

  • Caused by inadequate dietary iron intake, blood loss, or poor absorption.

Vitamin B12 Deficiency Anemia (Pernicious Anemia)

  • Results from insufficient B12 intake or poor absorption due to autoimmune conditions or low stomach acid.

Folate Deficiency Anemia

  • Common in people with poor diets or malabsorption issues.

Hemolytic Anemia

  • Occurs when red blood cells are destroyed faster than they can be replaced.

Anemia of Chronic Disease

  • Associated with long-term conditions like autoimmune diseases or infections.

Aplastic Anemia

  • A rare condition where the bone marrow doesn’t produce enough red blood cells.`


Root Causes of Anemia

🫴🏾 Dietary Deficiencies

Insufficient iron, B12, or folate intake can lead to anemia, especially in restrictive diets.

🫴🏾 Parasitic Infections

Parasites such as hookworms, Giardia, tapeworms, and roundworms can deplete your body of vital nutrients. These parasites feed on their host, robbing them of essential vitamins and minerals, leading to malnutrition and malabsorption.

🫴🏾 Low Stomach Acid (Hypochlorhydria)

Stomach acid is essential for breaking down food and absorbing nutrients like iron and B12. Low stomach acid creates an environment where parasites can thrive and impairs nutrient absorption, leading to anemia.

🫴🏾 Chronic Inflammation

Conditions like autoimmune diseases or infections can disrupt red blood cell production.

🫴🏾 Heavy Menstrual Bleeding

Excessive blood loss during menstruation is a common cause of anemia in women.


The Role of Stomach Acid in Anemia and Parasitic Infections

Low stomach acid (hypochlorhydria) is a key factor in anemia and parasitic infections. Stomach acid kills harmful pathogens and parasites that enter through food or water. When stomach acid is low, these invaders thrive, competing for nutrients and damaging the gut lining, leading to malnutrition and disease.

Reasons for Low Stomach Acid

🌿 Chronic stress

🌿 Poor diet, particularly low protein or processed foods

🌿 Use of acid-reducing medications

🌿 Aging

🌿 Helicobacter pylori infections

How to Prevent Low Stomach Acid

🌿 Eat a nutrient-dense, whole-food diet.

🌿 Manage stress through mindfulness or relaxation techniques.

🌿 Avoid overeating, as it dilutes stomach acid.

🌿 Chew food thoroughly to stimulate digestive enzymes.

🌿 Supplement with digestive bitters or apple cider vinegar if needed.


Diagnosing Anemia: Lab Testing and Functional Ranges


A comprehensive blood panel is essential for understanding anemia. Below are key biomarkers, their standard ranges, and functional ranges:

Primary Biomarkers

  • Hemoglobin (Hb): Measures oxygen-carrying capacity of red blood cells.

Standard Range: 12–15.5 g/dL (women); 13.5–17.5 g/dL (men)

Functional Range: 13.5–14.5 g/dL (women); 14.5–15.5 g/dL (men)

  • Ferritin: Indicates iron storage levels in the body.

Standard Range: 12–150 ng/mL

Functional Range: 40–90 ng/mL

  • Serum Iron: Measures the amount of circulating iron in the blood.

Standard Range: 50–170 µg/dL

Functional Range: 85–130 µg/dL

  • Vitamin B12: Essential for red blood cell production and nervous system health.

Standard Range: 200–900 pg/mL

Functional Range: 500–1,000 pg/mL

  • Folate: Critical for DNA synthesis and red blood cell formation.

Standard Range: 2.5–20 ng/mL

Functional Range: 10–15 ng/mL

Secondary Biomarkers for Comprehensive Analysis

  • White Blood Cells (WBCs): Evaluates immune response and infection.

Standard Range: 4,000–11,000 cells/μL

Functional Range: 5,000–7,000 cells/μL

  • Red Blood Cells (RBCs): Measures the number of red cells in blood.

Standard Range: 4.2–5.4 million/μL (women); 4.7–6.1 million/μL (men)

Functional Range: 4.4–4.9 million/μL (women); 4.5–5.0 million/μL (men)

  • Hematocrit (Hct): Indicates the percentage of blood composed of red cells.

Standard Range: 37–47% (women); 42–52% (men)

Functional Range: 37–42% (women); 40–45% (men)

  • Mean Corpuscular Volume (MCV): Assesses the size of red blood cells.

Standard Range: 80–100 fL

Functional Range: 85–92 fL

  • Mean Corpuscular Hemoglobin (MCH): Measures the average amount of hemoglobin in a red cell.

Standard Range: 27–31 pg/cell

Functional Range: 28–30 pg/cell

  • Mean Corpuscular Hemoglobin Concentration (MCHC): Evaluates the concentration of hemoglobin in red cells.

Standard Range: 32–36 g/dL

Functional Range: 33–35 g/dL

  • Platelets (PLT): Helps assess clotting ability.

Standard Range: 150,000–450,000 cells/μL

Functional Range: 180,000–350,000 cells/μL

  • Red Cell Distribution Width (RDW): Indicates variability in red cell size, often elevated in anemia.

Standard Range: 11.5–14.5%

Functional Range: 12–13%

Differential White Blood Cell Counts

  • Neutrophils (%): Indicates bacterial infection or inflammation.

Standard Range: 40–70%

Functional Range: 55–65%

  • Lymphocytes (%): Reflects viral infections or immune activity.

Standard Range: 20–40%

Functional Range: 25–35%

  • Monocytes (%): Involves chronic infections or inflammation.

Standard Range: 2–8%

Functional Range: 3–7%

  • Eosinophils (%): Associated with allergies or parasitic infections.

Standard Range: 1–4%

Functional Range: 1–3%

  • Basophils (%): Linked to allergic or inflammatory reactions.

Standard Range: 0–1%

Functional Range: <1%

Iron Studies

  • Iron: Measures circulating iron levels.

Standard Range: 50–170 µg/dL

Functional Range: 85–130 µg/dL

  • Unsaturated Iron-Binding Capacity (UIBC): Indicates available capacity for iron binding.

Standard Range: 155–355 µg/dL

Functional Range: 150–300 µg/dL

  • Total Iron-Binding Capacity (TIBC): Evaluates iron transportation.

Standard Range: 250–450 µg/dL

Functional Range: 275–350 µg/dL

  • Transferrin Saturation: Measures how much transferrin is carrying iron.

Standard Range: 15–50%

Functional Range: 30–40%

Other Relevant Biomarkers

  • Reticulocyte Count: Indicates bone marrow activity in producing red cells.

Standard Range: 0.5–2.5%

Functional Range: 1–2%

  • Mean Platelet Volume (MPV): Provides insight into platelet production and activity.

Standard Range: 7.5–11.5 fL

Functional Range: 8–10.5 fL

Additional Functional Tests

🫴🏾 Comprehensive stool analysis to detect parasitic infections.

🫴🏾 Gastric acid secretion tests to evaluate stomach acid levels.

🫴🏾 Micronutrient testing for iron, B12, folate, and other deficiencies.

Why These Biomarkers Matter

Using a combination of these markers helps differentiate between types of anemia, uncover underlying causes, and guide targeted interventions. Functional ranges provide a deeper insight into subclinical issues often overlooked in standard lab tests.

Fun Fact:

Your stomach acid is so strong that it can dissolve metal, yet it’s essential for absorbing delicate nutrients like iron and vitamin B12. Without enough stomach acid, even the healthiest diet can leave you nutrient-deficient!


Comprehensive Anemia Protocol

🌿 Address Nutrient Deficiencies

Supplement with chelated iron, methylated B12, and active folate as needed.

Incorporate iron-rich foods: lentils, spinach, quinoa, and fortified cereals.

🌿 Support Gut Health

Use probiotics and digestive enzymes to enhance absorption.

Treat parasitic infections with herbal remedies like wormwood, black walnut, Cellcore foundational or comprehensive protocol or medical antiparasitics under guidance.

🌿 Optimize Stomach Acid

Consume bone broth, fermented foods, and apple cider vinegar.

Use betaine HCl supplements if recommended.

🌿 Lifestyle Adjustments

Reduce stress with stretching, meditation, or light exercise.

Sleep 7–9 hours nightly to support healing.


Conclusion: Don’t Ignore the Signs

Anemia isn’t just about fatigue; it’s a signal that your body is struggling to get the nutrients it needs. By addressing the root causes—whether nutrient deficiencies, parasitic infections, or low stomach acid—you can restore balance, reclaim energy, and prevent future health complications.


Call to Action: Your Health Deserves Attention

Are you tired of feeling drained, foggy, and unwell? It’s time to uncover the root cause of your symptoms. Don’t settle for a quick

fix—opt for a tailored approach to your health. Book a consultation today and start your journey to vibrant energy and lasting wellness. Your body is ready to heal—are you ready to listen?

Meal: Hearty Lentil and Spinach Stew Over Fluffy Quinoa

A nourishing, vibrant bowl bursting with rich flavors and packed with vital nutrients to uplift your energy and health.

Ingredients

For the Stew:

1 cup lentils: Earthy, tender bites that soak up all the savory goodness.

2 cups fresh spinach: Wilts perfectly into the stew, adding a lush, velvety texture.

1 small sweet potato: Creamy and naturally sweet, balancing the savory spices.

1 juicy tomato, diced: Adds a refreshing, tangy burst of flavor.

1 medium onion and 2 garlic cloves: The aromatic base that makes your kitchen smell divine.

1 teaspoon cumin and 1 teaspoon turmeric: Warming spices that lend an irresistible depth of flavor.

2 cups vegetable broth: Infuses every ingredient with rich, comforting goodness.

1 tablespoon olive oil: Silky and fragrant, bringing it all together.

Salt and pepper: To awaken every ingredient’s natural flavors.

For the Quinoa:

1 cup quinoa: Nutty, light, and the perfect pairing for this hearty stew.

2 cups water and a pinch of salt: Simmered to fluffy perfection.

Instructions

Cook the Quinoa:

Rinse the quinoa, releasing its nutty aroma.

Let it simmer gently, soaking up every drop of water to create light, fluffy grains.

Craft the Stew:

Start by sautéing onions and garlic in olive oil, releasing a heavenly aroma.

Stir in cumin and turmeric for a warm, earthy fragrance that fills the room.

Add the lentils, sweet potato, tomato, and vegetable broth, and let the magic happen as everything simmers to tender perfection.

Fold in vibrant spinach at the end for a pop of color and silky texture.

Assemble Your Bowl:

Scoop the steamy, fragrant quinoa into a bowl.

Ladle over the thick, velvety stew, letting the juices seep into the quinoa.

Garnish with fresh parsley or a squeeze of lemon for a zesty, aromatic finish.

Why You’ll Love It

The Texture: Soft lentils, creamy sweet potato, and tender spinach melt in your mouth, while quinoa adds a delightful nuttiness.

The Flavor: A symphony of warming spices, tangy tomato, and the subtle sweetness of sweet potato creates a truly harmonious dish.

The Nourishment: Every bite feels indulgent but is packed with iron, protein, and vibrant nutrients to energize your body and soul.

Each spoonful is a hug in a bowl—comforting, satisfying, and oh-so-delicious.

Nutritional Benefits:

Iron: Lentils, spinach, and quinoa provide non-heme iron, critical for addressing deficiencies.

Vitamin C: Tomatoes and spinach improve iron absorption.

Protein: Lentils and quinoa offer plant-based complete proteins for energy and recovery.

Antioxidants and Anti-inflammatory Compounds: Turmeric and garlic support overall health and immunity.

This holistic meal aligns with anemia recovery protocols and ensures vibrant health with a balance of essential nutrients.

References:

General Information on Anemia

1. Mayo Clinic. Anemia – Symptoms and Causes.

https://www.mayoclinic.org/diseases-conditions/anemia/symptoms-causes/syc-20351360

2. National Heart, Lung, and Blood Institute (NHLBI). Anemia Overview.

https://www.nhlbi.nih.gov/health/anemia

Parasitic Infections and Their Impact

3. Centers for Disease Control and Prevention (CDC). Parasites – Hookworm.

https://www.cdc.gov/sth/about/hookworm.html?CDC_AAref_Val=https://www.cdc.gov/parasites/hookworm/index.html

4. Journal of Clinical Microbiology. Giardia and Malabsorption Syndromes.

https://jcm.asm.org/

5. WHO. Soil-Transmitted Helminth Infections.

https://www.who.int/news-room/fact-sheets/detail/soil-transmitted-helminth-infections

Low Stomach Acid and Its Effects

6. Wright, J. V., & Lenard, L. (2001). Why Stomach Acid is Good for You. McGraw-Hill Education.

7. Functional Medicine University. The Role of Stomach Acid in Digestive Health.

https://www.functionalmedicineuniversity.com

8. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Hypochlorhydria Overview.

https://www.niddk.nih.gov/

Functional and Standard Lab Ranges for Anemia

9. ODX. Clinical Guidelines for Nutrient Deficiencies and Lab Testing.

https://www.optimaldx.com/research-blog/iron-deficiency-without-anemia

10. ODX. Understanding Hemoglobin and Ferritin Lab Results.

https://labtestsonline.org/

11. Cleveland Clinic. Interpreting Vitamin B12 and Folate Levels.

https://my.clevelandclinic.org/

Nutritional and Lifestyle Support for Anemia

12. World Health Organization (WHO). Iron Deficiency Anemia: A Guide for Program Managers.

https://www.who.int/publications/

13. Harvard Health. The Importance of Gut Health in Nutrient Absorption.

https://www.health.harvard.edu



DISCLAIMER: The health information in this blog is for general education and is not intended to substitute for any medical advice. No medical cure, diagnosis, or treatment is provided.

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Rosalyn Antonio-Langston NP, FDNP

🌿 As a Traditional Naturopath and Certified FDN Practitioner. I help health conscious, business women regain vitality by investigating Hormone, Immune, Digestion, Detoxification, Energy Production, Nervous System or H.I.D.D.E.N dysfunctions. Using Functional Diagnostic Nutrition® (FDN) methods which is a holistic discipline that employs functional laboratory assessments and Nutrigenomics and Nutrigenetics DNA 🧬 testing to identify malfunctions and underlying conditions at the root of most common health complaints. 🌿

https://www.leavesfromthetreeoflife.com/
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