any genetic history of low blood counts in the family / livogen is a hematinic tablet/ take syrup instead one teaspoon in morning and evening/syrup cypon one teaspoon in afternoon

use papaya, pomegranate fruits rather than their juices, beetroot carrot spinach start using moringa/ wheatgrass powder/tablet in diet

1. How to take Livogen-Z: • Dose: Usually 1 tablet once a day (after food or with a meal). • Best time: Take it in the morning or afternoon after breakfast or lunch — never on empty stomach (causes stomach upset). • With: Take with a glass of water or orange/lemon juice (vitamin C helps iron absorption). • Avoid: Do not take with tea, coffee, milk, calcium tablets, or antacids within 2 hours — they block iron absorption. • Swallow whole — do not crush/chew (unless doctor says). 2. How long to take for maximum benefit: • Take continuously for at least 3–6 months (even after Hb becomes normal). • Goal: First raise Hb to 10–12 g/dL (usually 1–2 months with good response), then continue 2–4 more months to rebuild iron stores in the body (ferritin). • Total duration: Often 4–6 months or longer if cause is ongoing (e.g., heavy periods, poor diet). • Retest Hb after 4 weeks, then every 4–8 weeks until normal, then check ferritin to decide when to stop or reduce. 3. Important: • See her doctor (general physician or hematologist) soon (within 1–2 weeks) to: • Confirm the cause of anemia (iron deficiency? B12/folate? bleeding? thalassemia?) • Do tests: Serum ferritin, B12, folic acid, stool for occult blood (if any doubt of GI bleed). • Rule out serious causes (very low Hb without symptoms can sometimes be chronic). • If Hb doesn’t rise in 4 weeks or she develops symptoms, may need iron injections or blood transfusion (rarely).

• Give her iron-rich foods daily: spinach, beetroot, dates, jaggery, pomegranate, raisins, chicken/liver (if non-veg), lentils. • Pair with vitamin C: oranges, amla, lemon, guava — eat together with meals. • Watch for side effects of Livogen-Z: black stools (normal), mild stomach upset (common). If severe pain/vomiting, stop and see doctor. • Encourage rest, avoid heavy work until Hb improves. • Drink plenty of water — helps overall. She is lucky to have started treatment early — with regular Livogen-Z + diet + follow-up, most people reach normal Hb in 2–3 months and feel much better. For exact dose/duration or if she has other medicines/diseases (e.g., acidity, kidney issue), consult her doctor or share more details online. Take care of her — she’ll improve with this plan

She will need transfusion

To get in touch with a nearby Hematologist.