#84: Anemia, Iron Deficiency, IV iron, and Tony Stark

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Abolish anemia, and iron deficiency w/tips on IV iron therapy from real life iron man, Michael Auerbach, MD, FACP, Clinical Professor of Medicine Georgetown University School of Medicine. Topics include oral versus IV iron therapy, safety of IV iron, ferritin cutoffs, and how to diagnosis/ treat iron deficiency in patients with chronic inflammation, chronic kidney disease, pregnancy, heart failure, and more! Take our Self Assessment Test Here.

Images by Beth Garbitelli; Written and produced by Justin Berk, MD and Matthew Watto, MD.

Full show notes available at http://thecurbsiders.com/podcast

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Time Stamps

  • 00:00 Disclaimer
  • 00:35 Intro
  • 01:27 Listener feedback
  • 02:35 Guest bio
  • 04:49 Basics of diagnosing iron deficiency, ferritin, soluble transferrin receptor, a new definition
  • 07:09 Getting to know our guest
  • 08:27 Book recommendations
  • 09:33 Brief history of iron deficiency and IV iron
  • 15:20 Iron deficiency from menorrhagia
  • 19:55 IV iron cures symptoms of iron deficiency, pica immediately
  • 20:40 Iron and neurologic symptoms, restless leg syndrome
  • 23:30 Iron restricted erythropoiesis, anemia of chronic inflammation
  • 26:02 Overview of iron absorption
  • 28:35 Iron deficiency without anemia, treatment
  • 33:52 Time to improvement with iron therapy
  • 34:45 Indications for IV iron
  • 38:09 Comparing the oral iron formulations
  • 40:05 Iron deficiency and pregnancy
  • 42:54 Diagnosis of iron deficiency
  • 46:20 Should IV iron be given to patients getting blood transfusion
  • 48:40 Is iron safe during active infection?
  • 49:17 Iron in congestive heart failure
  • 51:50 Questions from social media
  • 53:35 Minor infusion reaction from IV iron
  • 54:35 Comparison of different IV iron formulations
  • 57:35 Take home points
  • 60:35 Outro

Tags: iv, iron, ferrous, sulfate, ferric, sucrose, dextran, anemia, deficiency, oral, dosing, fatigue, pregnancy, ckd, heart, failure, chf, bleed, blood, loss, ferritin, transferrin, erythropoiesis, esa, transfusion, reaction, infusion, assistant, care, doctor, education, family, foam, foamed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

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