Anaemia info from Tanya's Site here.
It's important to determine the cause of the anaemia (anaemia of inflammation, iron deficiency, other). If there's infection present, iron supplements shouldn't be given until the infection is cleared up. (According to Tanya's Site, bacteria thrive on iron.)
My understanding from what I've picked up over the past number of months is that low haematocrit levels need to be addressed ASAP, including treating for any infection/inflammation. Lúnasa (The Noodle) was very anaemic last summer, secondary to a UTI. At time of infection Dx, her HCT was only 21% and our vet was very concerned that the anaemia might be non-regenerative (the Noodle's IRIS stage III). Thankfully the UTI was cleared with antibiotic treatment and her HCT recovered, thought still some of her RB values were still low. Our vet was a bit 'meh' when I asked him about B-complex vitamin supplementation. I went ahead with it and since I managed to get her on the right dose, the Noodle's appetite and energy levels have shown improvement. Her coat condition's better too (softer, not as sheddy). I'll be getting her next round of blood work done in a few weeks' time so I'll find out then how much the supplement is helping her at a cellular level.
Vitamin B supplementation also helped Saoirse, in particular when she had coat regrowth problems.
Anaemia can cause weakness/tiredness, and apparently it can make a body feel cold too. It can also adversely affect appetite. There's good information here on how
B vitamins can help (for both anaemia and appetite), maybe something to discuss with the vet tomorrow?
On hypertension, it'd be a good idea to ask the vet to check Moo Moo's blood pressure while you're at the vets (for a baseline). With CKD in play, it's also a good precaution to ask the vet to check eye health regularly.
Hope Moo Moo and yourself have a grand day. Have you managed to catch up a bit on rest for yourself?
(((Moo Moo and Sydney)))
Mogs
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