5min chapter

The Curbsiders Internal Medicine Podcast cover image

#380 Hemochromatosis with Elliot Tapper

The Curbsiders Internal Medicine Podcast

CHAPTER

What Does Management Look Like From a Phlebotomy?

The key branch point is cirrhosis or no cirrhosis. Once you're in cirrhosis, you get that whole package where we start to think about liver cancer screening for varices. People with high transference saturations are at high risk of getting serious invasive infections from bacteria like Vibrio Villaneficus. So when it comes to phlebotomy, the goal is to get that ferritin to 50 to 100. That's our goal. And typically, I'll make a decision about how fast I want to get there based on how robust the patient is. But if you watch the kinetics for your given patient, you can get a better sense of

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