OrphanCrow : The medical doctors who are purported to have authored this article, would and should know that this article is not a study, isn't even close to being a study, and it doesn't even follow proper referencing and sourcing for the material that they have presented.
In the American Journal of Hematology, Volume 92, Issue 12, pp,1370-1381 this is described as a Critical Review. It would be the writer of the article in Science Trends that describes it as a study. Further, if you read the full text in the American Journal of Hematology you will see their material is sourced with 141 references.
OrphanCrow : this is a fluff piece generated by Jehovah's Witnesses themselves who have a special interest in the world of "bloodless medicine".
I would not describe the critical review in the American Journal of Hematology as "fluff", and I would not know who generated it. The authors are all from the Oregon Health and Science University in Portland:
- Carlton D. Scharman, Internist, Department of Internal Medicine.
- Debora Burger, Program Manager, Patient Blood Management Program.
- Joseph J. Shatzel, Fellow in Hematology & Oncology, Knight Cancer Institute.
- Edward Kim, Assistant Professor of Neurology, School of Medicine.
- Thomas G. DeLoughery, Professor of Medicine, Pathology and Pediatrics, Knight Cancer Institute.
OrphanCrow : Not once do the authors talk about any of the risks or side effects of so-called "bloodless medicine"
Apart from the risk of decreasing hemoglobin concentration, which you refer to later, there are several risks which the authors highlight, for example (p.1374):
"Because of transfusion limitations, the treatment of hemorrhagic shock in JWs can be particularly challenging, often requiring rapid infusion of fluids and possible vasopressors to maintain pressures...However, excessive use of crystalloids has been associated with coagulopathy and organ dysfunction likely because of metabolic derangements."
Reference : Cotton BA, Guy JS, Morris JA Jr., Abumrad NN. The cellular, metabolic, and systemic consequences of aggressive fluid resuscitation strategies. (Shock. 2006; 26(2):115-121)
OrphanCrow : The authors of the article in the OP say this about low HB levels: [Quotation from article]
Note that no citation was offered for the profound "suggestion" that they offered. None. No citation. Just a "suggestion" based on a study that they didn't cite.
OrphanCrow : and then, at the end of the article, we find the citation for the above quote
Not quite sure what point you are making here. In most articles you have the full references at the end of the article. This one is no different.
This is a helpful and authoritative article which should be read by anyone who will not accept blood.