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Quick Answer. A low hemoglobin count, also known as anemia, is caused by pregnancy, a menstrual period, a diet low in iron, blood loss, or a disease that causes the body to produce fewer red blood cells or to destroy red blood cells. According to the Mayo Clinic, medications also sometimes cause anemia.
Hemoglobin is a protein in your red blood cells that carries oxygen. Folate, or folic acid -- also known as vitamin B-9 -- is needed to produce red blood cells, which house homoglobin. Your hemoglobin will become low if you do not get enough folic acid. This is called anemia.