- With Mayo Clinic hematologist
Ruben Mesa, M.D.
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Ruben Mesa, M.D.
Ruben A. Mesa, M.D.
Ruben A. Mesa, M.D., is board certified in internal medicine, hematology and medical oncology and is a consultant and section head in the Division of Hematology and Internal Medicine at Mayo Clinic, Rochester, Minn., and an associate professor of medicine at Mayo Medical School.
The Chicago-area native's primary field of interest is hematology with special interests in both acute and chronic leukemias — specifically the chronic myeloproliferative disorders (MPDs).
"I believe patients' understanding of their disease is a critical first step in the healing process," he says. "I believe that the Internet, carefully used, is a phenomenal resource for patients to be able to access high-quality and valuable information to understand both their diseases and various treatments."
Dr. Mesa has been with Mayo Clinic throughout his training since 1991 and is a graduate of Mayo Medical School. He is a member of the American Society of Hematology, the American Society of Clinical Oncology and the American College of Physicians.
His scholarship has focused on advancing the understanding and therapy of the chronic myeloproliferative disorders. In these disorders, he has been active in evaluating novel therapeutics, implementing clinical trials, working with quality of life studies, and actively involved with national patient groups.
He is supported in these efforts by research funding from the National Cancer Institute, the MPD Foundation, and Mayo Clinic's Hematologic Malignancy Program. He is principal investigator in several trials specifically for myelofibrosis, and is organizing a trial using exercise to counteract MPD-associated fatigue. He is committed to improving the therapy and quality of life in MPD patients. He has lectured both nationally and internationally on these disorders.
Symptoms (1)
- Craving and chewing ice: A sign of anemia?
Causes (1)
- Low hemoglobin: What causes it?
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Question
Low hemoglobin: What causes it?
What causes a low hemoglobin count?
Answer
from Ruben Mesa, M.D.
Hemoglobin is the iron-rich protein in red blood cells that gives blood its red color. The normal range of hemoglobin is approximately 14 to 17 grams per deciliter for men and 12 to 16 grams per deciliter for women. A low hemoglobin count indicates a low red blood cell count (anemia). Anemia can have many causes, including:
- Vitamin and iron deficiencies
- Acute or chronic bleeding
- Hormone deficiencies, such as thyroid hormone or testosterone
- Chronic diseases, such as kidney failure, cancer and Crohn's disease
- Autoimmune diseases, such as lupus
- Side effect of certain medications, such as chemotherapy drugs
Treatment depends on the underlying cause.
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