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The first step in the diagnosis of anemia is detection with reliable, accurate tests so that important clues to underlying disease are not overlooked and clients are not subjected to unnecessary tests for and treatment of nonexistent anemia (Maakaron & Besa, 2021)

Other causes such as inflammatory conditions or sickle cell will need to be investigated if anemia is not caused by lack of EPO, low iron, B12 or folic acid levels

Chapter 15

Here are some common causes of high estrogen levels in young women: Excess body fat: Too much body fat can increase estrogen production, as fat tissue can convert other hormones into estrogen.2 Birth control pills : Taking oral contraceptives can introduce extra synthetic estrogen into your body, potentially leading to complex hormonal imbalances.3 Endocrine disruptors : Exposure to certain chemicals, called hormone disruptors, can affect estrogen levels in young women