I can still remember the look on my doctor’s face when he read back my hemoglobin levels after taking routine blood work.
“You should be in the hospital right now,” he said with a look of concern on his face. Unaware of the weakened state that my body was in at the time, I was confused by his reaction. “Your hemoglobin levels are at 7gm/dL,” he told me.
“And what are the normal levels?” I asked him, now with equal concern. “For women, normal levels are between 12.3 gm/dL and 15.3 gm/dL.”
It was at that moment that I realized that there was nothing “normal” about my perpetual fatigue and low energy levels — as they all pointed back to one thing: my anemia.
It wasn’t long after my appointment that I started on iron transfusions, and over the four sessions, it felt like I was given an entirely new body. One with more energy, better sleep patterns, less intense periods, and no more fatigue. The surge in energy made me wonder why I went so long to make my anemia a top health priority. What would've happened had I not gone in for the routine check-up sooner?
@andreadeanmd Take iron deficiency seriously. It can affect your quality of life. #irondeficiency #irondeficiencyanemia #lowhemoglobin #anemiaproblems #anemiasymptoms #blackwomenoftiktok #hispanictiktok #tiktocdocs
What Is Anemia and Its Symptoms
Iron deficiency anemia (IDA) is a medical condition characterized when the body lacks enough iron to produce all of the hemoglobin necessary for healthy red blood cells (RBCs). Hemoglobin is a protein in red blood cells that helps carry oxygen from the lungs to the rest of the body.
Because we need oxygen to regulate proper blood flow, individuals with anemia can find themselves experiencing irregular heart rates and extreme fatigue, which can lead to serious health complications if left unchecked.
Other symptoms of anemia include:
- Cold extremities
- Weakness
- Pica, or the desire to eat non-nutritional foods like clay or ice
- Dizziness
- Hair loss
- Brittle nails
- Brain fog
- Shortness of breath
- Restless leg syndrome
There are several types of anemia, each with different underlying causes, such as nutritional deficiencies in iron, vitamin B12, or folic acid deficiency, chronic diseases like blood loss from injuries or medical conditions, or genetic factors like sickle cell anemia.
Anemia and Black Women
While having anemia at times gets overlooked as a serious health condition or even reduced down to “always being cold” and eating ice, it’s important for those living with anemia to understand the causes and long-term effects of this condition.
Studies show that “anemia in Black women and Hispanic women occurs 2 to 3 times more often than in Caucasian women.” While it is still unknown why women of color have a higher occurrence of iron-deficiency anemia, key factors that cause anemia, such as your body’s inability to absorb iron and low intake of essential nutrients like vitamin B12 and B9, should be taken with a great amount of care and consideration as you prioritize your health and well-being.
That’s why we’ve tapped Hematologist/Oncologist of Hematology Connect Andrea R. Dean, MD, to provide us with insight on how to manage and treat our anemia because it’s a condition worth taking seriously.
xoNecole: Are there genetic factors that make Black women more susceptible to anemia?
Dr. Dean: Black women are more susceptible to anemia due to iron deficiency, which is most prevalent in this group. Iron deficiency is commonly due to heavy menstrual bleeding from fibroids. Black women have a greater lifetime incidence of fibroids than any other group of women. This likely has a genetic component, but more research is needed.
xoN: Iron pills are commonly recommended to aid in low iron. From your expertise, what are some other supplements or treatments that can help manage anemia?
Dr. Dean: Treatment for anemia depends on the underlying cause. If anemia is due to B12 deficiency or folate deficiency, replacement of these vitamins is needed. If anemia is due to gastrointestinal bleeding, a referral for an EGD and colonoscopy is needed to locate the source of [the bleeding] and stop it. If anemia is due to iron deficiency, you can take iron pills, liquid iron solution, or intravenous iron.
xoN: What dietary changes can someone make to improve their iron intake and absorption?
Dr. Dean: You can eat green leafy vegetables and red meats to increase iron in your diet. If taking iron pills, absorption is better when taken in the morning on an empty stomach every other day.
xoN: At times, anemia and low iron can be overlooked as a health concern, but what are the potential long-term consequences of untreated or chronic anemia in Black women?
Dr. Dean: Untreated anemia can be detrimental to your health. Your hemoglobin carries oxygen to organs throughout your body. If you are anemic or your hemoglobin is low, your organs are not receiving the oxygen they need to properly function. You can pass out from being anemic, and low hemoglobin stresses your heart muscles, and some patients can experience a heart attack. Additionally, the symptoms from anemia can be debilitating and can decrease your quality of life.
xoN: Can low iron be permanently corrected, or does it have to be managed throughout one’s life?
Dr. Dean: The underlying cause of iron deficiency will determine whether it can be corrected. If iron deficiency is due to decreased absorption from H. pylori, once the bacteria infection is treated, iron deficiency should resolve. If iron deficiency is due to heavy menstrual bleeding, it will likely have to be managed until a woman enters menopause unless she seeks treatment to stop or slow down periods. If iron deficiency is due to gastrointestinal bleeding, it might have to be managed throughout one’s life if they have arterial venous malformations.
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The pair often says they’re two sides of the same coin. Skylar is an Aquarius. She attended art school, paints, and loves poetry. She’s more than happy to let the couple’s management firm and agency, Kensington Grey, handle their admin work. And, she loves to sleep in. Temi, on the other hand, wakes up early. He’s a Virgo. He loves a to-do list and regularly checks in on the couple’s brand partnerships spreadsheet to make sure everything is on track.
Because his storytelling was steeped in his love of technology, he didn’t always think of himself as a creative person. “Where I [am] the dreamer who wants to pluck things out of the sky and spend all day with my head in the clouds, Temi [is] so good at grounding me and helping me figure out how to make things make sense on paper. We just work together in such a complimentary way,” Skylar says.
It’s been more than six years since Brooklyn-based couple Temi and Skylar started dating, and nearly four since they cemented their working relationship. On TikTok and Instagram, the couple’s travel, fashion, and home content regularly rack up hundreds of thousands of views. They’ve worked with brands such as Coach, Aesop, Away, and Liquid IV, bringing their vibrant perspectives to every campaign they execute. Still, nearly two years since both Temi and Skylar committed to full-time content creation and creative directing, the couple says their romantic connection remains their priority.
“We told each other we would much rather go back to full-time jobs and preserve our relationship than to be full-time freelancers, barely getting a night's rest [and] barely kissing each other because we're so busy shooting,” Skylar says.
Working from home can make it hard to separate work from personal life for any entrepreneur. It can be even more challenging when your business partner is also your lover. Temi and Skylar had already used couples therapy as a tool to help them effectively communicate with one another. When they ran into challenges while working together, their therapist helped them set physical boundaries to help combat the issues.
"We told each other we would much rather go back to full-time jobs and preserve our relationship than to be full-time freelancers, barely getting a night's rest [and] barely kissing each other because we're so busy shooting."
“It actually took us doing very specific physical things to create boundaries between work and play in our relationship,” Skylar says. “So, for instance, we will only have conversations about work when we're out of bed or we're at the table or in the office. Initially, when we started, we had to light a candle to say that, 'Okay, this is a space where we're connecting, we’re not talking about work.' We needed really hard boundaries at the top. And then it became a little bit more organic.”
The boundaries have been crucial to implement, especially because the couple began working together so naturally. When the pair first met, Skylar was NY-based a social strategist for BuzzFeed and was using content creation to drive business to her lingerie company. She was shooting her own content. Temi was working for Microsoft in D.C. He’d recently traded in his DJing equipment for a camera. “I've always loved taking pictures,” he says. “Even when I was a kid, my African mother would wake me up at 3:00 a.m. [during a] party, and be like, 'Come take the family picture.'”
Growing up, Temi says he watched his parents support each other and be the true definition of partners. He knew he wanted the same for his own relationship. But, the couple also wanted to make sure they were being financially responsible. The pair didn’t quit their traditional jobs until they’d saved up two years' worth of their cost of living. And, Temi received his Master of Business Administration from New York University with the knowledge that it could either help him advance in his corporate career or be applicable to his business with Skylar.
Temi and SkylarCj Hart @hartbreakToday, they say their working relationship is more of a “quiet dance.” They still implement some of the boundaries they learned in therapy, but they also lean into their natural strengths and deep love for one another. When we speak, Temi has planned a date for the couple to see Princess Mononoke in 4K IMAX and added it to their Notion so they can factor it into their busy schedules. “I fully plan to date for the rest of my life,” he says.
Skylar says the couple doesn’t just wait for date nights to check in with one another, though. This often happens in the mornings, after Temi has made her peppermint tea and poured himself a cup of coffee. When they ask each other how they slept, she says, it’s not just a “nicety.” It’s a genuine question meant to foster connection.
“A lot of it happens during the day in the midst of work. We'll stop and we'll hug. Or we’ll slow dance in the kitchen,” she says. “Sometimes it's hard to set a whole date night when you have 7,000 things going on. So, we must grasp these moments and check in when we can. And I think it's become so organic to us that I actually didn't even realize how often we do it. But all day long, we're like, 'Are you good? I felt like your energy shifted,' because we're best friends, we just know. We just feel it happen.”
What’s better than being in love? Building wealth while doing it. Watch Making Cents here for real stories of couples who make money moves together.
Featured image by Cj Hart @hartbreak