<s>[INST] Hi doctor, My friend is 26 years old. He has sickle cell anemia and thalassemia together. His recent spleen health was good and the proportion of blood and iron was moderate. He does not need to increase the blood. Is it rare to see these two together? What is the average life expectancy of these patients? [/INST] Hello. Revert back with the reports to a hematologist online --> </s>