Questions to ask: Anemia and iron deficiency
Diagnosis
- What kind of anemia do I have, and how low is my hemoglobin?
- Is my anemia caused by low iron, low B12 or folate, inflammation, or something else?
- What was my ferritin level, and what does it mean?
- What do you think is causing my iron to be low?
- Do I need a colonoscopy or upper endoscopy to look for bleeding?
- Should I be tested for celiac disease or H. pylori?
- Could my heavy periods be the cause, and should I see a gynecologist?
- Could any of my medicines, such as pain relievers or stomach acid pills, play a role?
- Do I need to see a hematologist (blood specialist)?
- Is it safe for me to exercise, drive, or work while my blood count is low?
Before
- Should I start with iron pills or IV iron, and why?
- Which iron pill should I take, how often, and at what time of day?
- What foods, drinks, or medicines should I avoid near my iron dose?
- What side effects should I expect, and what can I do about them?
- If I get IV iron, which product will I get, and how many visits will it take?
- Do I need a blood transfusion?
- Do I need B12 shots or folic acid as well?
- Will my insurance cover IV iron or newer iron pills?
- What should my family know if I feel faint or very short of breath?
During
- Is my hemoglobin rising as expected?
- When will you recheck my blood counts and ferritin?
- My iron pills upset my stomach. Can I change the type or schedule?
- If iron pills are not working, what is the next step?
- Should my phosphate be checked after IV iron?
- Have the tests found the source of my iron loss?
- Is it okay to take iron with my other medicines?
- When can I expect to feel less tired?
- Should I donate blood while I am being treated?
After
- How long should I keep taking iron after my blood count is normal?
- How often should I have my blood checked from now on?
- What are the chances my iron deficiency will come back?
- What signs should make me call you about anemia coming back?
- Should I keep taking a vitamin or iron supplement long term?
- What diet changes can help me keep my iron up?
- Should my family members be tested for an inherited cause?
Last updated: 2026-10-27. Medically reviewed by Veli Bakalov, MD, medical oncologist (October 2026). General education from Step by Step, the patient portal of HemeOncBuddy.