Why would hemoglobin levels decrease with cirrhosis?

Hemoglobin levels may decrease with cirrhosis due to several factors, including impaired liver function, which affects the production of proteins necessary for blood cell production. Additionally, cirrhosis can lead to portal hypertension, causing splenomegaly and resulting in increased sequestration and destruction of red blood cells. Furthermore, chronic blood loss from varices or gastrointestinal bleeding can also contribute to anemia in patients with cirrhosis.