<s>[INST] i have 50 years old menopause with no history of any bleeding my Hb is 10 gm and i have  hypochromic microcytic anemia with anisopoikilocytosis . What is the possible cause and what is the best treatment.?N.B :I eat everything and I am  not a vegeterenian YYYY@YYYY [/INST] Hi, Microcytic hypodermic anemia is common in females due to iron deficiency. Looking at your history, if menstrual loss is ruled out, I can think of three other causes.1. Bleeding from other places like gut - stomach or intestinal bleeding. - look for dark color of stools or is it blood tinged2.parasitic infections of gut - you need to get a stool examination for ova, cyst and blood3. Inadequate iron intake.- can be ruled out based on your diet. Based on further tests, cause can be identified. Now, you need to start on iron tablets' therapy to improve iron levels. Response to therapy can be checked by doing reticulocyte count after 15 days. Any further queries, happy to answer again. </s>