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

### input:
hi doctor, this is my recent reportmy RBC report shows mild anisopokilocytosis.predominantly normocytic with ovalocytes and microcytesiron is 20 (range is 60 to 180), TIBC is 406.90 (215 to 535) % transferrin saturation is 5.28%( 13 to 45).before  the treatmet i have lower b12 i.e 157(211 to 946)  after the medication 16 injection b12 witChatDoctorbination of vit c. it becomes 335. i taken  medicine  livogen z and folvite in  one year . my hb is reached to 11.9%.after gap of 6 months . my hb% is down to 9.6 with  iron deficienc what i mention the present report above.  iam suffering severe  weakess along with artharities. how i will take careof this permanently . please suggest some suggeston. in the medication time my wieght is increasing like 10 kg in one year span. i have no thyroid.

### output:

thanks for your query can feel your concerns your recent report is suggestive of iron deficiency while phagocytes suggest some B12 and foil acid deficiency as well.I want to know about your dietary habits. Do you have bleeding from any site or history of malabsorption and diarrhea?the cause of iron deficiency should be sorted out and treated accordingly take iron supplements and dewormimprove your diet. Add meat, spinach fresh vegetables and fruits to diet avoid tea and coffee. You may have to undergo certain tests to rule out occult Food loss like stool Routeing examination, endoscopy and colonoscopy after consulting your doctor take calcium and vitamin D supplements for joint problem and take painkillers like broken in case of pain Hope I have answered your query am available for your help regards Chat Doctor. 