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One of the least expected early signs of pregnancy is extreme tiredness! Women often miss fatigue as a symptom because, with our busy modern lifestyles, it's easy to think that your tiredness is caused by work, burning the candle at both ends or even exhaustion from the emotional (and physical) demands of trying to conceive.
Anemia can occur during pregnancy due to a lack of iron and folic acid and changes in the blood. During the first 6 months of pregnancy, the fluid portion of a woman's blood (the plasma) increases faster than the number of red blood cells. This dilutes the blood and can lead to anemia.