<s>[INST] hello my names m.m iam 39 weeks pregnant my hemoglobin level is law i ca,nt sleep a night i have fever in my arms all the time so that doctor please can you give advice the fast way that i can increase my HP and if i can start taking irion tablet because my due date is near .thanks ,Asia [/INST] Hi Asia, Looking at your symptoms, I can comment as follows. Improvement through nutrition could take minimum of 15-20 days to start and more than a month to show improvement. Hemoglobin should be normal during pregnancy and delivery too as blood loss can be seen. Instant improvement is only through blood transfusion using packed red cells. I would not advise you now, and wait till delivery. Transfusion reactions can occur and complicate pregnancy. Discuss with your doctor regarding keeping matched blood ready for transfusion on emergency. Any further queries, happy to help again. </s>