Reynaldo Ramirez, 63, remembers the day his wife, Emelina, turned to him and said, “Let’s get healthy!” Together, they changed their diet and began exercising. Within six months Reynaldo says he lost 45 pounds and got down to 200 pounds. “When I went in for my annual checkup, I expected to pass with flying colors,” he says. However, blood work revealed low hemoglobin and hematocrit (H&H) levels, because his last coloscopy was four years ago, Dr.