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Could be several reasons/factors that would require a blood transfusion. The number one cause is due to massive blood loss. My guess in this case (since no blood loss is noted) would be due to anemia (which is a condition characterized by a deficiency of red blood cells). Roughly 13% of people over the age of 70 are anemic, with the most common causes being chronic disease and iron deficiency (a required structural component of red blood cells). Red blood cells carry oxygen to tissue and when there is a deficiency of these cells the body does not receive adequate oxygenation resulting in weakness, fast heartbeat, and shortness of breath during exercise. A blood transfusion is one of the most common ways to treat more severe cases of anemia, which would be my guess as a cause in this case. Mr. Pharmacist

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