Shared Decision-making in Myelodysplastic Syndrome: Tailoring Conversations and Considering Micronutrient Deficiencies

This chapter delves into the personalized approach of discussing treatment options for myelodysplastic syndrome (MDS) with older patients, highlighting the importance of tailoring conversations based on age, willingness for treatment, and disease progression. It emphasizes considering micronutrient deficiencies like B12 and copper before invasive procedures, and the significance of a patient-centered approach that considers comorbidities and preferences. The chapter also discusses the nuanced use of folate supplementation, genetic testing advancements reducing the necessity of bone marrow biopsies, and the importance of assessing and treating micronutrient deficiencies in patients post-bariatric surgery.