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(a) Blood loss anemia Intraoperative blood loss Repeated blood drawsphlebotomy Gastrointestinal Menstrual blood losses (b) Decreased RBC production Decreased effective production Iron deficiencyabsolute or functional Folate deficiencymedications Pure red cell aplasiaparvo virus, medications Bone marrow suppressionmedications (Mycophenolate, Imuran), infections (viral) Poor allograft functionerythropoietin deficiency Ineffective erythropoiesis Folate deficiency Sideroblastic anemiaINH and other drugs (c) Increased RBC destruction Microangiopathic hemolytic anemiacalcineurin inhibitors, Sirolimus G6PD deficiencysulfa medications Blood Loss Anemia Blood loss is a common cause of anemia in kidney transplant patients

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