### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Over many years I have low iron levels on & off, very cold feet that turn blue & cold hands most of the time, tired, hip pain, headaches, cough in the mornings, itching, bruise easily. Am on Efexor for stress etc. No one has ever been able to find out why my levels drop. I was tested for Pernious Anemia many years ago & one Dr gave me B12 injections & prescribe iron tablets. Regards Barbara Australia

### output:

Depressed iron level occurs when your body doesn't have enough iron. Iron is important because it helps you get enough oxygen throughout your body. Your body uses iron to make hemoglobin. Hemoglobin is a part of your red blood cells. Hemoglobin carries oxygen through your body. If you do not have enough iron, your body makes fewer and smaller red blood cells Then your body has less hemoglobin, and you cannot get enough oxygen. Iron deficiency is the most common cause of anemia. Iron deficiency anemia is caused by low levels of iron in the body. You might have low iron levels because you: Have heavy menstrual bleeding.  Are not getting enough iron in food. This can happen in people who need a lot of iron, such as small child Chat Doctor.  Have bleeding inside your body. This bleeding may be caused by problems such as ulcers, hemorrhoids, or cancer. This bleeding can also happen with regular aspirin use. Bleeding inside the body is the most common cause of iron deficiency anemia in men and in women after menopause.  Cannot absorb iron well in your body. This problem may occur if you have celiac disease or if you have had part of your stomach or small intestine removed. Regards