Hb 7.5 g/dL with low MCV is suggestive of significant microcytic anemia, most commonly iron deficiency anemia. Before starting treatment, evaluation with CBC indices, serum
ferritin, iron profile, and assessment for the underlying cause (e.g., menstrual blood loss, GI blood loss, nutritional deficiency) is important. Oral iron preparations containing 100–200 mg elemental iron/day can be used if tolerated, but with Hb 7.5 g/dL, intravenous iron may provide faster correction in selected patients after medical evaluation.
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