The Curbsiders Internal Medicine Podcast
#471 Iron Deficiency Anemia with Dr. Tom DeLoughery
Feb 17, 2025
Dr. Tom DeLoughery, a hematologist from Oregon Health & Science University, shares his expertise on iron deficiency anemia, blending medical insights with personal anecdotes. He discusses the intricacies of diagnosing and managing anemia, including the role of ferritin levels and the importance of individualized treatment plans. The conversation also highlights common misconceptions about iron intake, dietary advice, and the use of intravenous therapies. With humor and valuable lessons, he addresses the complexities faced by patients and physicians alike.
01:11:21
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Quick takeaways
- Iron deficiency anemia is particularly prevalent in premenopausal women and athletes, necessitating a physiologic approach to lab values like ferritin levels.
- A comprehensive menstrual history is crucial for women with anemia, as heavy menstrual bleeding can significantly impact iron levels and treatment options.
Deep dives
The Prevalence of Iron Deficiency Anemia
Iron deficiency anemia is extremely common, particularly among certain populations such as premenopausal women and athletes. Studies indicate that as many as 50-70% of premenopausal women may experience some level of iron deficiency. This highlights the importance of having a physiologic approach to lab values, especially regarding ferritin levels. A ferritin level of 30 or lower is often considered low and should prompt further investigation and treatment.
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