<s>[INST] My hemoglobin continually drops and is currently at 67. In May it was at 61 and had a blood transfusion to help. I have had a endoscope (through the mouth) and a colonoscopy and both can back normal. I am on supplements but it seems my hemoglobin continues to drop. I dont have any other weird bleeding. I will admit, the odd time (maybe only once a week) I forget the suppliments. Is forgetting my suppliments why it keeps dropping so drastically or could it be something else. I am finding myself so tired and wore out that I am having difficulty working and living a normal active life. any suggestions? [/INST] Thanks for contacting Chat Doctor. Dear patient when hemoglobin keeps falling it means the cause for why it is happening has not been determined which could be as simple as bleeding gums to kidneys not making enough erythropoietin. You need to find out what is responsible for it. Also need to eat iron reach foods like spinach, dates, red meat, jaggery etc. Besides check iron contents of your iron supplements, as it should contain at least 100 mg of elemental iron per dose to be taken 2-3 times a day for the hemoglobin to rise. Regards </s>