In my blood work, I consistently have small, pale blood cells. There is, however, an abundance if them. Because of this consistent abnormality in my blood work results, I requested a blood test for thalassemia minor. My family is Italian so this could be a possibility. I didn't understand the test results. It stated that the hemoglobin appeared to be normal but thalassemia was not ruled out nd remained a possibility. I don't think whatever test done was adequate. My question is: what are the most common causes of consistently small and pale blood cells? My doctor said I am NOT anemic, presumably because I have enough cells, albeit they are small and pale.
I think thalassemia minor is the most likely culprit, but my doctor says that testing for it won't do me much good because there is nothing that can be done about it and it's clinically insignificant. I have suffered from fatigue for years, and many members of my family have a high heart rate, as do I. I've always attributed the fatigue to the fact that I also have pcos (I am thin, but highly resistant case). Any info would be greatly appreciated. Thanks