Need to ask a lot of questions.
What is his creatinine level? Is he on dialysis?
Is he taking erythropoietin and iron?
Is there any history of blood loss such as bleeding piles?
Next Steps
Get Iron profile, Vit B12 and Folate levels, latest KFT including calcium, phosphate, Hemoglobin)
Get intact PTH (If not done already in last one year)
Review with complete history to nephrologist.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Nephrology
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