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Haptoglobin, bilirubin, and liver function tests. When red blood cells break down, they release hemoglobin into the bloodstream. The hemoglobin combines with a chemical called haptoglobin. A low level of haptoglobin in the bloodstream is a sign of hemolytic anemia.
If your low iron level, and therefore your low hemoglobin level, is because of a medical condition, such as when your red blood cells don't form properly, your doctor might prescribe medication to help boost your levels of hemoglobin.ne type of anemia is called vitamin-deficient anemia, and it occurs when you have low levels of vitamin B-12 and folate, according to the American Society of Hematology.