Dear Ann,
It's not unusual to feel really tired before needing a transfusion, and depression goes along with that, because you can't do all the things you usually do, and that makes you depressed if anything does. Listen to your body, don't force yourself to do things if you don't feel like it. With low blood counts, it seemed that even my mind didn't work properly. So relax, take it easy and don't worry. Perhaps you like to read, or sew, or something sedentary, so you can do that if you want to.
