Definition 

Hemoglobin is a protein that transports oxygen to bodily tissues and organs and carbon dioxide back to the lungs from the lungs in red blood cells. Haemoglobin (Hb) was accidentally discovered in 1840 by Hunefeld in the samples of earthworm blood kept between two glass slides.

Structure 

The protein hemoglobin is tetrameric in structure. Two polypeptide chain "𝜶" and "𝝱" subunits make up the most prevalent type of adult haemoglobin. Each polypeptide chains are connected by a heme prosthetic group.

• 𝜶 subunit : 𝜶 subunit is made up of polypeptide chain of 141 amino acids.

• 𝝱 subunit : It is made up of a numer of 146 amino corrosive deposits includes in  beta polypeptide chain.

Each polypeptide chain is attached with a prosthetic iron component called the heme group. The centre of the porphyrin ring might include iron.

The quaternary structure has strong connections between the subunits and. Haemoglobin partially separates after a moderate urea treatment, although 𝜶 and  𝝱 dimers remain intact. The subunits are attached by hydrogen bonds, the majority of which are hydrophobic interactions, as well as a few ion pairs or salt bridges.

Haemoglobin typically exists in two states: the R state and the T state. Deoxyhaemoglobin is primarily found in the T state, whereas oxygen has a larger affinity for the R state.

Varients of Hemoglobin 

Genetic variations in specific genes, or globins, which convert the amino acid result in haemoglobin variants. They might have an impact on that particular quality's reliability, design, behaviour, or creation rate. Haemoglobin (Hb) comes in a variety of forms.The most common blood types among them are typically HbA, HbA2, HbF, HbS, HbE, HbC, HbH, and HbM. In healthy individuals, only little quantities of HbA and HbA2 are present. Additionally, some people may have small amounts of HbF.

see molecular formula of hemoglobin 

Ordinary range of Hb in human body

The following are the typical proportions of various molecules in adult haemoglobin:

•HbA: 0.95 to 0.98 (from 95% to 98%).

•HbA2: 0.02 to 0.03 (2% to 3%)

•HbE: 0.008 to 0.02 percent HbF absence

• HbC: Missing 

• HbS: Absence

These HbF particle levels are typical in infants and early children:

• HbF (after six months): 50–80% (0.5–0.8) only 8% • HbF (more than six months): 1% to 2% Hb

Synthesis, Transport, Storage and Destruction of Hb

Synthesis

Haemoglobin is produced by erythrocytes in the bone marrow and circulates with them until they are destroyed. After being divided in the spleen, some of its components, including iron, are then utilised deep inside the marrow.

Haemoglobin is produced biochemically by a complex series of processes, substrates, and enzymes.

The two key phases in the production of haemoglobin are globin synthesis and heme synthesis. Globin chain synthesis occurs by hereditary record and interpretation in the cytoplasm of erythrocytes. Numerous studies have demonstrated that the presence of heme influences globin quality record. The genes for the beta chain are located on chromosome 16, and the genes for the alpha chain are located on chromosome 11. Heme production involves both the cytoplasm and the mitochondria of the erythrocyte. The process starts in the mitochondria since only one of the precursors may be detected there. The third phase, which leads to the formation of heme, is also a mitochondrial process because the concentration of heme influences this reaction. Starting with glycine and succinyl coenzyme A, a protoporphyrin IX ring is created. The protoporphyrin attaches to a Fe2+ ion to produce the final heme molecule.

A series of diseases known as porphyrias cause an accumulation of heme synthesis intermediates in the blood, tissues, and urine, which has clinically important effects. This occurs because of a lack of an enzyme or substrate.

Transport

Haemoglobin (Hgb or Hb) is the main oxygen transporter in humans. Only 2% of the total oxygen transported in the blood is free; the majority, around 98%, is bonded to haemoglobin. Red blood cells contain molecules called haemoglobin that take up and transport the oxygen. These oxygen-rich cells go through blood arteries from the lungs to the left side of the heart. After that, the blood is circulated throughout the body. Red platelets are modified to fit the oxygen-carrying vessel.

Storage

In this stage of absorption, iron and oxygen combine and are transported into the blood's plasma through binding to transferrin. From there, transferrin and iron are utilised to create haemoglobin, which is then stored in the liver, spleen, and bone marrow for later usage by all body cells.

Hb Excretion and Destruction

Haemoglobin is nearly instantly phagocytized by macrophages in various body areas, including Kupffer cells in the liver, bone marrow, and spleen macrophages, when red blood cells burst and release haemoglobin. A disorder known as autoimmune hemolytic anaemia occurs when the immune system erroneously destroys your own red blood cells because it thinks they are foreign. red cell flaws that are inherited, such as thalassemia, sickle cell anaemia, and a deficiency of G6PD.

Erythrocytes are removed via the reticulo-endothelial system. Globin chains are broken down into amino acids and then reassembled back into globin chains. Iron is once more used by the bone marrow to produce haemoglobin. The breakage of the ring, which results in the formation of the linear tetrapyrrole molecule biliverdin, is the first stage of prototoporphyrin breakdown. Next, biliverdin is changed into bilirubin. Bilirubin is bound to albumin and transferred to the liver where it is conjugated with glucuronic acid. The small intestine and bile are used to get rid of this. The GI tract converts bilirubin into stercobilin, some of which is then reabsorbed into the plasma and excreted by the kidney as urobilinogen in urine. Trace amounts of free haemoglobin may be released into the plasma.

Hb's Functions

1.Transporting oxygen from the lungs or gills to other bodily tissues is hemoglobin's main job. To permit aerobic respiration, which powers the animal's metabolism and makes it simpler to carry carbon dioxide back to the lungs, it releases oxygen there.

2. It buffers the blood's PH and tries to keep up with it.

3. Physical dynamic catabolities' sources.

4. Gives the blood a reddish tint.

5. Genetic resistance to malaria.

Hematocrit Level 

The hematocrit is a test that measures the percentage of red blood cells, also called red blood cells, being considered normal between 40 to 50% in men and 35 to 45% in women. 

Usually, the hematocrit is altered in case of dehydration, bleeding, anemia and lung diseases such as COPD, and it is also common to have changes in the amount of red blood cells or hemoglobin in the blood.

In case of hematocrit alteration, especially if other symptoms appear, such as weakness and racing heart, it is recommended to consult the hematologist or general practitioner so that the cause is identified and the most appropriate treatment is started.

Hematocrit Reference Values 

Hematocrit reference values ​​vary by laboratory, but generally the normal hematocrit value is: 

Women: between 35 and 45%. In the case of pregnant women, the reference value is normally between 34 and 47%; 

Man: between 40 and 50%; 

Children from 1 year: between 37 and 44%. 

Usually, the doctor interprets the hematocrit value taking into account the person's health history and the result of other tests such as the blood count, to identify the cause of the changes.

What can be Low Hematocrit 

Low hematocrit can be caused by: 

• Anemia; 

• Bleeding; 

• Malnutrition; 

• Infections; 

• Lack of vitamin B12, folic acid or iron; 

• Leukemia; 

• Excess hydration. 

In addition, low hematocrit is also common in pregnancy and can be a sign of anemia, especially if the hemoglobin and ferritin values ​​are also low.

What could be High Hematocrit 

High hematocrit can be caused by dehydration, lung diseases such as COPD, and some heart diseases, especially congenital heart diseases, for example, being more common in people who smoke.

STEPS TO FOLLOW TO LOWER HEMATOCRIT LEVEL 

1. If you're a smoker, put an end to it

Tobacco alters the transport of oxygen by red blood cells in the blood, so circulation is altered. A smoker, having low oxygen levels, will cause his bone marrow to produce more red blood cells, which increases the hematocrit of the blood. 

2. Donating blood 

Is one of the measures to lower your hematocrit, as by donating you will be cleaning your blood and renewing it, while eliminating excess iron from your body, which is highly recommended if you want to lower your hematocrit level as well. By donating blood we eliminate 250 mg of iron. 

3. Maintain adequate hydration

Dehydration causes a higher hematocrit level along with a greater volume of blood and plasma because there is less liquid in the body to dilute the blood, so it is very important that we are well hydrated so that the hematocrit levels do not skyrocket. Increase fluid intake in your daily diet to prevent this from occurring. A minimum of eight glasses of water a day is recommended. 

On the other hand, you should avoid drinks with alcohol or caffeine as they are diuretics and stimulate urine and cause dehydration. To lower the hematocrit, it is best to drink water or unsweetened juices.

4. Take aspirin twice a month

Aspirin aids in blood thinning and prevents blood clots from developing. When we have a high hematocrit level, the blood becomes thicker, so aspirin will help to avoid this. But we must not abuse the consumption of aspirin (with two a month it will be more than enough) because it is also not beneficial that the blood is too diluted to avoid possible bleeding if we have a small cut. 

5. Change your usual diet 

Adapt it so that it is easier for you to lower your hematocrit. By using the advice below, you can accomplish it: 

• Increase the consumption of antioxidant foods because they facilitate the transport of oxygen in your body. Antioxidants help supply oxygen to the blood to circulate normally. More antioxidant foods are prunes, beans and berries.

• Avoid foods with a high iron content, as this mineral makes it easier for your body to obtain hemoglobin. We just have to avoid consuming foods with a high iron content such as spinach, broccoli, fish, beef, turkey, chicken, clams and mussels. 

6. Avoid high altitudes

The so-called "mountain sickness" occurs because in high elevations there is less oxygen than in lower areas. It is considered a limit to live above 2000 meters and those who do so tend to have a high hematocrit level, because our bone marrow produces more red blood cells to compensate for the low oxygen level in these zones. If you want to reduce it, the best thing is to move to an area of ​​lower altitude.

7. Perform physical exercises moderately

It is important to do physical activities for good health; however, one should never overdo it. Practicing very intense or large amounts of exercise will also affect the hematocrit level in the blood. Try the following moderate activities: 

• Walk. 

• Cycling (not too intense). 

• Clean the house. 

• Cut the grass.

8. Stay in low elevation locations

Higher areas have lower oxygen concentration; when the altitude is greater than 2400 m, the oxygen is considered “thinner”, and inhabitants of such places have higher than normal hematocrit. Going to a lower altitude will return the count to normal. 

To adapt to the environment, the bone marrow, which is responsible for the production of red blood cells, will increase the amount of them to compensate for the low oxygen in the body, resulting in the skyrocketing of the hematocrit level in the body.

9. Every day, eat grapefruits

Recent studies have indicated that consumption of 1/2 grapefruit (or a whole grapefruit) decreases the hematocrit level. The higher the blood hematocrit rate, the more effect the fruit will have, so incorporate at least half of it with breakfast and the other half as an afternoon snack. 

Naringin, a flavonoid found in high concentration in grapefruit, leads to phagocytosis, a natural process that takes red blood cells out of the blood, converting them for other tasks in the body.

Tips 

In short: the more oxygen circulating in the body, the greater the chances of having a normal hematocrit level. 

The hematocrit index can be measured as a fraction of erythrocyte volume (EVF) or packed cell volume (PCV). 

People with chronic lung or heart disorders, or sleep apnea, should consult a physician to learn how to manage the condition to affect hematocrit.

Notices 

• Avoid prolonged exposure to carbon monoxide, which can raise your hematocrit. 

• This parameter may rise in response to testosterone replacement therapy; if you have recently started it, talk to your doctor about alternative measures.

General Discussion 

Hemoglobin (Hb) is a protein that can be found inside red blood cells, blood cells. Its main function is to transport oxygen from the lungs to the tissues of the human body and, at the same time, transport carbon dioxide from the tissues to the lungs, where it will be eliminated. 

You may have already asked why human blood is red. The explanation is precisely the presence of hemoglobin in red blood cells, which are also called red blood cells or erythrocytes.  

However, red blood is not common to all living beings. Some invertebrate animals, mainly crustaceans, have bluish blood due to the presence of the protein hemocyanin in the red blood cells.

The hemoglobin 

Hemoglobin, whose molecular formula is C2952H4464N3248O812S8Fe4 is a protein responsible for transporting oxygen in the human body. Its fibers measure about 7 to 8 μm and they are the main substance that stores the ferrous ion in our organism.

The word hemoglobin is related to its chemical structure: four globin chains (protein part) linked to a heme group (prosthetic group). The heme group has a ring structure (porphyrin), formed by four units associated with an iron ion (Fe2+). 

Globins can be of types "a" (alpha), "ß" (beta), "" (gamma), "d" (delta) and "e" (epsilon), but in adult humans only two of the alpha type and two beta type. In addition to the structural function, they make it possible to reverse the connection between iron and oxygen. 

Regarding its chemical and physical properties, the protein has molecular formula C2952H4664O832S8Fe4, pH 7, measures from 7 to 8 µm and in the blood it acquires a colloidal form, being found from 4.5 to 5.5 million/mm³.

Types of Hemoglobin 

• Hb A: consisting of two alpha and two beta chains, it is predominant in adults and represents 95% to 98% of total hemoglobin production; 

• Hb A2: composed of two alpha and two delta chains, it represents about 2% to 3% of total Hb in adults; 

• Hb F: consisting of two alpha and two gamma chains, being the main type of Hb produced by the fetus during pregnancy and reduced after birth. In adults, it accounts for only 2% of total hemoglobin. 

There are also some common hemoglobin variants: 

• Hb S: occurs in people with sickle cell anemia; 

• Hb C: causes hemolytic anemia and a small enlargement of the spleen; 

• Hb H: causes mild hemolytic anemia, microcytosis, and slight enlargement of the spleen.

Changes in Hemoglobin Levels 

Below are reference values ​​for the presence of Hb in the body, which can be verified through laboratory tests: 

• Newborns (full term): 13.5 to 19.6 (g/100ml) 

• Children (three months): 9.5 to 12.5 (g/100ml) 

• Children (one year): 11.0 to 13.00 (g/100ml) 

• Children (10 to 12 years): 11.5 to 14.8 (g/100ml) 

• Pregnant women: 11.5 to 16.00 (g/100ml) 

• Normal women: 12.00 to 16.5 (g/100ml) 

• Men: 13.5 to 18.00 (g/100ml)

General Discussion 

Hemoglobin is a protein found in red blood cells. These cells are responsible for transporting oxygen to the body. 

In addition to oxygen, hemoglobin transports carbon dioxide from the cells to the lungs. Carbon dioxide is released as the person exhales. Having low hemoglobin can make it difficult for the body to perform these functions. 

In this article, learn how to increase hemoglobin levels naturally. We also analyze the test methods and what the results show.

Normal Ranges

A doctor will check the low hemoglobin with a blood analysis. 

Low hemoglobin is diagnosed when a man has less than 13.5 grams per deciliter (g/dL) of hemoglobin in the blood or when a woman has less than 12 g/dL. 

A person may have a low hemoglobin level for several reasons, including: 

• iron deficiency anemia 

• embarrassing 

• problems with the liver or kidneys 

• chronic illnesses 

It is possible that hemoglobin levels naturally decrease without an underlying cause. Some people can have low hemoglobin and not experience symptoms or signs. 

With the guidance of a doctor, a person can increase their hemoglobin levels so that they reach a normal range. The normal ranges are: 

• 13.5 to 17.5 g/dL for men 

• 12 to 15.5 g/dL for women 

The adequate hemoglobin levels for children vary depending on age. Anyone who is concerned about a child's hemoglobin levels should consult a doctor. 

Persons with very low hemoglobin levels may need additional treatment if taking supplements and changing diet do not show sufficient results.

Symptoms 

Symptoms of extremely low hemoglobin levels include: 

• fast or irregular heart rhythm 

• pale skin and nerves 

• fatigue 

• muscle weakness 

•frequent or unexpected blackouts 

• recurrent headaches

Causes of low Hemoglobin count

A person with low hemoglobin may have anemia. Common causes of anemia include: 

• have iron, vitamin B12 or folate deficiency 

• substantial loss of blood 

• cancer that affects the bone marrow, such as leukemia 

• kidney disease 

• liver disease 

• hypothyroidism, or a thyroid gland that does not produce enough hormones 

• thalasemia, a hereditary disease that prevents hemoglobin from working properly 

• drepanocytic anemia, a genetic disorder that causes a reduction in red blood cells and hemoglobin 

Low hemoglobin levels can also be caused by: 

• lung disease 

• smoke to excess 

• burns 

• extreme physical exercise

Low Hemoglobin vs Anemia: 

symptoms and consequences 

A considerably low hemoglobin is one of the main symptoms of anemia, a condition in which the number of red blood cells in the blood descends. Anemia can be the result of underlying illnesses or it can be the result of poor nutrition. 

The symptoms of anemia vary according to the cause, but the different types of anemia and low hemoglobin have a common symptom: tiredness. Feeling too exhausted to carry out daily activities could, even if not exclusively, be a symptom that something is wrong with the level of red blood cells and hemoglobin in the blood. Other symptoms include:

• dizziness 

• Vertigo 

• Short of breath 

• Pale skin and gums 

• Cold hands or feet

If you suspect that you suffer from anemia and that you have low hemoglobin, see your doctor immediately. In the long term, anemia will continue to force the body's organs to function without enough oxygen, which can result in extreme exhaustion and the inability to perform daily activities. 

Also, anemia can cause the heart to beat harder to compensate for the lack of oxygen, so the risk of heart failure will increase. In children, low hemoglobin and anemia can cause damage to physical, social, and emotional development. 

How to raise Hemoglobin with dietary routine  

When the cause of low hemoglobin is a nutritional deficit, the body can be helped to recover quickly with home remedies to raise hemoglobin. The key is in a better diet. To know how to increase hemoglobin, we must look for foods and recipes rich in the nutrients necessary for the creation of blood cells.

A person can increase their hemoglobin levels at home with dietary changes in the following way: 

1. Increasing iron intake

A person with reduced hemoglobin levels can benefit from eating more iron-rich foods. The hierro acts by improving the production of hemoglobin, which also helps to form more red blood cells. 

A diet rich in all the compounds that we have mentioned will help the body to maintain a normal hemoglobin level. 

Some iron-rich foods include: 

• Clams and cockles: they are some of the foods richest in iron, they contain more than the necessary daily intake. 

• Whole grain cereals: Today, many cereals are fortified with iron and other vitamins. To facilitate its absorption, it is recommended to consume it with ingredients that contain vitamin C. 

• Meats: chicken, beef, fish, pork, among others, are famous for their high content of easily absorbed iron. 

• Lentils: they constitute one of the legumes richest in iron of vegetable origin.

2. Increasing folate intake 

Folate is a type of vitamin B that plays an essential part in the production of hemoglobin. The body uses folate to produce heme, a component of hemoglobin that helps transport oxygen. 

If a person does not get enough folate, their red blood cells cannot mature, which could cause folate deficiency anemia and low hemoglobin levels. 

Good sources of folate include: 

•beef 

•spinach 

•rice 

•manies  

•frijoles (Jews) 

•avocado 

•lechuga

3. Maximizing iron absorption 

Consuming iron in food or supplements is important, but a person should also help their body absorb this energy. 

Foods rich in vitamin C, such as citrus fruits, fresh fruit and green leaf vegetables, can increase the amount of iron that is absorbed. Taking a vitamin C supplement can also help. Vitamin A and beta-carotene can help the body absorb and use hierro. 

Foods rich in vitamin A include: 

•fish 

•liver 

•gourd 

•camote (potato or sweet potato)

•collard greens and chard 

Foods rich in beta-carotene include yellow, red and orange fruits and vegetables, such as: 

•zanahoras 

•camote (potato or sweet potato) 

•gourd 

•melon 

•mango 

Even vitamin A supplements can help the body process the iron, the vitamin is dangerous if consumed too much. 

Excess vitamin A can cause a condition known as hypervitaminosis A. It can cause symptoms such as bone and joint pain, severe headaches and increased pressure within the brain.

4. Taking iron supplements 

A doctor may advise a person with extremely low levels of hemoglobin to take iron supplements. The dose will depend on the levels of the person. 

It is important to note that too much iron can be dangerous. It can cause hemochromatosis, which in turn can cause liver disease and side effects such as bloating, nausea and vomiting. 

The supplements will cause the iron levels to increase gradually over a few weeks. A doctor may recommend taking supplements for several months to increase body water reserves.

5. Increase your intake of vitamin C. 

The body's ability to absorb iron is made easier by vitamin C.You can fill up on vitamin C by consuming the following fruits and vegetables:

• citrus fruits

• mangoes

• cranberry

• the strawberries

• the cabbage

• broccoli

• peppers

• spinach

6. Eat whole grains

Wholegrain pasta, rice and bread are rich in iron. As mentioned above, iron is the main component in the production of hemoglobin, the blood needs it to make proteins. Eating these foods can increase your iron levels, which in turn also increases your hemoglobin levels.

Avoid bread, cereals and white pasta. Their nutrients were removed during their manufacture, which is why they lost color. These products have little nutritional benefit and often contain only carbohydrates.

Try to eat less gluten. In people who are sensitive to gluten, the consumption of foods containing it can damage the walls of the small intestine, which can slow down the absorption of certain nutrients such as calcium, lipids, folic acid and iron.

Many restaurants can offer gluten-free options to people who need it. There are also many gluten-free products in stores.

Natural remedy

Studies show that consuming this plant can cause a significant increase in hemoglobin levels, especially in children. It is used in Ayurvedic medicine to treat anemia due to iron deficiency .

In the aforementioned study, people who took withania saw an increase in the number of red blood cells as well as their hemoglobin level. Speak with your doctor about this dietary supplement to see if it may be right for you.

1. Consume nettle for a good source of iron. 

Nettle is a good source of iron and is commonly used to treat arthritis. Iron plays an essential role in the production and absorption of hemoglobin. The more iron you take, the more hemoglobin you will produce.

You can find nettle extract in most health food stores as well as online. You can find them in the form of oil, capsules and also in herbal tea.

2. Try dong quai supplements. 

Experimental studies reveal that the consumption of dong quai (or Chinese angelica) can bring the hemoglobin level almost to normal. It is usually used to treat premenstrual syndrome, cramps, constipation and anemia. The cobalt contained in dong quai would have the virtue of increasing the amount of hemoglobin in the blood.

You will most often find dong quai in capsule form, but you can also find it in extract form to mix into your drinks. You can find it in health food stores, some pharmacies and online.

3. Consider taking chitosan. 

Studies have shown that patients with kidney failure who were given 45 mg of chitosan had lower cholesterol levels and higher hemoglobin levels . Talk to your doctor about this natural remedy to see if it might be right for you.

You can find chitosan online as well as in very good health food stores. For information, it is pronounced kite-oh-sane.

Increase Hemoglobin with Medical Treatment  

Medical treatments Since not all causes of low hemoglobin are the same, medical treatment to determine how to raise hemoglobin will not be the same in many cases. These are some of the treatments that doctors might consider in cases where low hemoglobin is a cause for medical concern. 

1.Blood transfusion 

When hemoglobin is dangerously low, low enough to cause heart damage, doctors will consider blood transfusions to quickly raise hemoglobin and other blood cells. This can occur with hemoglobin levels at 8 or 7.

2.Bone marrow transplant 

In the case of bone marrow diseases, in which the marrow is unable to produce the necessary cells, a bone marrow transplant may be the best or only treatment available to cure the anemia and restore hemoglobin levels. Meanwhile, blood transfusions can also help patients. 

There are diseases of the immune system that cause the body to attack the cells created by the bone marrow. In those cases, the doctor will prescribe the necessary medications to control the disease. This is also the case where the low hemoglobin is caused by infections, for which the necessary antibiotics will be prescribed.

3. Erythropoietin injections.

This is a hormone made by the kidneys to encourage the development of red blood cells in the bone marrow. When kidney cells detect low blood oxygen levels, they will produce and release erythropoietins to stimulate the bone marrow to make more red blood cells. The increase in red blood cells in the blood will also improve the blood's ability to carry oxygen.

Hormonal Treatments 

When low hemoglobin is caused by excessive menstrual bleeding, the doctor may prescribe hormone treatments to control the amount of blood lost with each period. 

Nutritional supplements 

For the most common type of anemia, iron deficiency anemia or iron deficiency anemia, treatment will consist of taking medications to raise iron, such as supplements rich in this mineral, and making changes to the diet. 

This is also the case when low hemoglobin is caused by a deficiency of vitamin B12 or folic acid. Supplements and dietary changes will help cure anemia quickly.

There are situations where low hemoglobin is caused by the body's inability to absorb the nutrients needed to create it. This can occur as a consequence of gastrointestinal or autoimmune diseases. In these cases, the consumption of high doses of the missing vitamins or minerals, as well as their intravenous application, is one of the treatments that doctors prescribe.

How to raise Hemoglobin in Pregnancy 

During pregnancy, women are at higher risk of developing iron deficiency anemia and low hemoglobin. For this reason, in order to know how to raise hemoglobin during pregnancy, it is of the utmost importance that diet is taken care of more than usual. 

Since the intake of iron and vitamin B12 during pregnancy is vital for the health of the mother and the baby, it is advisable to consult your doctor if it is necessary to take supplements of these nutrients, especially if you follow a vegetarian diet and heme iron is not consumed. 

The best natural treatment will always be to follow a balanced diet. Adding legumes, fruits, fortified cereals, and meat products to the diet will help prevent anemia in pregnancy. 

On the other hand, you can reduce the consumption of foods that are bad for anemia, such as those rich in calcium, especially during the afternoon. It is also advisable to maintain a moderate consumption of coffee and tea.

Juices to raise Hemoglobin 

Juices are a delicious alternative both to increase hemoglobin and to promote iron absorption. In addition, they also help keep the body healthy, full of energy and prevent anemia and other related diseases. 

The key is to include foods rich in the compounds that we have talked about before. A combination of all these ingredients will result in a healthy drink loaded with nutrients. Here are some of the best juices to increase hemoglobin:

1. Beetroot, carrot and orange juice 

Beets, a great source of iron, shine in this juice to raise hemoglobin that includes two foods rich in vitamin C: carrots and oranges. To craft it, you need: 

• 1 beetroot 

• 1 carrot 

• 6 oranges 

Peel and chop the beetroot and carrot, extract the juice from the orange and mix it all in a blender or blender.

2. Spinach, celery and carrot juice 

This shake to raise hemoglobin is perfect for improving iron absorption and raising ferritin. To prepare it, you need: 

• 6 carrots 

• 1 bunch of spinach 

• 1 stalk of celery 

Wash, peel and chop all the ingredients and put them in the blender. Beat until you get the juice and enjoy it cold.

Conclusion 

Many people can improve their hemoglobin levels with dietary changes and supplements. Speak with a doctor to determine the correct dose of supplements. 

If hemoglobin levels remain low, it is possible that a person needs further treatment, such as a blood transfusion. 

Depending on what is causing the low hemoglobin and the treatments being tried, it may take up to a year for the levels to reach a healthy range.