Direct measurement of hematocrit (HCT) and hemoglobin (HGB) is the first diagnosis of anemia

The following additional parameters of the general blood test, give us additional information about the etiology - type of anemia

1. average erythrocyte volume (MCV) with indirect information on Ferrum deficiency (-), lack of hematopoietic vitamins (+), dysplasia (+), Mediterranean stigma (-), etc.
2. mean content and concentration of hemoglobin (MCH, MCHC) evaluated mainly in ferrum deficiencies
3. erythrocyte distribution range (RDW-CV) assessed mainly in the stigma of Mediterranean anemia, myeloid dysplasia, and degree of erythrocyte turnover
4. Microscopic blood test: The morphology and quality of all blood cells (red, white, platelets) are checked under the microscope for further categorization of the anemia, while possible suspicion of a hematological disease or marrow dysplasia is also checked.

It is used to detect long-term inflammatory disease or severe disease of the marrow or other central diseases that may have caused the anemia.

They show the rate of erythrocyte turnover giving information about the productivity of the marrow.

With the tests, the sufficiency of Ferrum in the body is assessed with conclusions of possible loss or malabsorption. The simple measurement of Ferrum is not sufficient, since iron shows particularly large fluctuations from day to day, and is strongly influenced by possible inflammations with 'falsely' low values. The need for measurement and stores is imperative as administering Ferrum to people with 'falsely low' iron results, can be particularly burdensome.

They provide information on the adequate transport of iron within the body, and its ability to absorb it, especially in cases where ferrum administration is needed.

Auxiliary test for detection:

- inflammation that can give 'false' values in Ferrum, ferritin, and transferrin

– serious diseases that can cause anemia

They are the most necessary hematopoietic vitamins. We often find them at low levels in people with a poor or malnourished diet and in people who have difficulty absorbing them due to stomach disorders – malabsorption, old age, or medication use.

Analyzes that check the normal way of renewal - regeneration of the blood, and exclude situations of hemolysis - the destruction of the blood within the body.

They are the antibodies to detect celiac disease, a condition characterized by intolerance to gluten and obstruction of the absorption of Ferrum, vitamin B12, and folic acid. These tests are particularly recommended in cases of unexplained long-term inability to maintain ferritin and vitamin B12 levels after treatment.

It is recommended in established acute phase iron deficiency and in people suspected of blood loss from the gastrointestinal system.