Thanks Al; My onc must agree with you, as my Hemoglobin was down to 7 before we decided to start Arenesp. It was either that or a blood transfusion, he let me choose, and I decided to take Arenesp. My counts improved to around 9 as long as I kept up the Arenesp. I was so exhausted before that, it was a great relief to have some energy again. I'm hoping I'll be able to keep the counts up myself this time, I'll be very proactive on the natural blood builders
