Knowledge

Iron-deficiency anemia

Source 📝

1377: 1453: 775:
supplementation during the early stages of pregnancy, specifically the first trimester, is suggested to decrease the adverse effects of iron-deficiency anemia throughout pregnancy and to decrease the negative impact that iron deficiency has on fetal growth. Iron supplements may lead to a risk for gestational diabetes, so pregnant women with adequate hemoglobin levels are recommended not to take iron supplements. Iron deficiency can lead to premature labor and to problems with neural functioning, including delays in language and motor development in the infant.
1193: 356: 675: 885:. About 70% of the iron found in the body is bound to hemoglobin. Iron is primarily absorbed in the small intestine, in particular the duodenum and jejunum. Certain factors increase or decrease absorption of iron. For example, taking Vitamin C with a source of iron is known to increase absorption. Some medications such as tetracyclines and antacids can decrease absorption of iron. After being absorbed in the 696:
for women ages 15–18, 18.0 for 19–50, and 8.0 thereafter; for men, 8.0 mg/day for ages 19 and up. (Recommended Dietary Allowances are higher than Estimated Average Requirements so as to cover people with higher than average requirements.) The RDA for pregnancy is 27 mg/day, and during lactation, 9 mg/day. For children ages 1–3 years it is 7 mg/day, 10 for ages 4–8 and 8 for ages 9–13. The
926: 1362:, were also 224.84 μg/L higher in those receiving IV-iron. However there was also low-certainty evidence that allergic reactions were more likely following IV-iron therapy. It was unclear whether type of iron therapy administration affects the risk of death from any cause, including cardiovascular, nor whether it may alter the number of people who may require a blood transfusion or dialysis. 701:
premenopausal, and 11 mg/day postmenopausal; for pregnancy and lactation, 16 mg/day. For men the Population Reference Intake is 11 mg/day ages 15 and older. For children ages 1 to 14 the Population Reference Intake increases from 7 to 11 mg/day. The Population Reference Intakes are higher than the US RDAs, with the exception of pregnancy.
871:, which is responsible for exporting iron from cells and mobilizing it to the bloodstream. Conditions such as high levels of erythropoesis, iron deficiency and tissue hypoxia inhibit hepcidin expression. Whereas systemic infection or inflammation (especially involving the cytokine IL-6) or increased circulating iron levels stimulate hepcidin expression. 1134:
protoporphyrin, providing an indirect measurement of the zinc-protoporphyrin complex. The level of free erythrocyte protoporphyrin is expressed in either μg/dl of whole blood or μg/dl of red blood cells. An iron insufficiency in the bone marrow can be detected very early by a rise in free erythrocyte protoporphyrin.
754:, which is commonly performed for weight management and diabetes control, the stomach is made into a small pouch and this is connected directly to the small intestines further downstream (bypassing the duodenum as a site of digestion). About 17–45% of people develop iron deficiency after a Roux-en-Y gastric bypass. 1133:
Another finding that can be used is the level of red blood cell distribution width. During haemoglobin synthesis, trace amounts of zinc will be incorporated into protoporphyrin in the place of iron which is lacking. Protoporphyrin can be separated from its zinc moiety and measured as free erythrocyte
1543:
A moderate degree of iron-deficiency anemia affects approximately 610 million people worldwide or 8.8% of the population. It is slightly more common in females (9.9%) than males (7.8%). Up to 15% of children ages 1–3 years have iron deficiency anemia. Mild iron deficiency anemia affects another
1200:
Treatment should take into account the cause and severity of the condition. If the iron-deficiency anemia is a result of blood loss or another underlying cause, treatment is geared toward addressing the underlying cause. Most cases of iron deficiency anemia are treated with oral iron supplements. In
1079:(variation in size). With more severe iron-deficiency anemia, the peripheral blood smear may show hypochromic, pencil-shaped cells and, occasionally, small numbers of nucleated red blood cells. The platelet count may be slightly above the high limit of normal in iron-deficiency anemia (termed a mild 695:
updated Estimated Average Requirements (EAR) and Recommended Dietary Allowances (RDA) in 2001. The current EAR for iron for women ages 14–18 is 7.9 mg/day, 8.1 for ages 19–50, and 5.0 thereafter (post menopause). For men the EAR is 6.0 mg/day for ages 19 and up. The RDA is 15.0 mg/day
1269:
As iron-deficiency anemia becomes more severe, if the anemia does not respond to oral treatments, or if the treated person does not tolerate oral iron supplementation, then other measures may become necessary. Two options are intravenous iron injections and blood transfusion. Intravenous can be for
960:
A thorough medical history is important to the diagnosis of iron-deficiency anemia. The history can help to differentiate common causes of the condition such as a menstruation in woman or the presence of blood in the stool. A travel history to areas in which hookworms and whipworms are endemic may
787:
Babies are at increased risk of developing iron deficiency anemia due to their rapid growth. Their need for iron is greater than they are getting in their diet. Babies are born with iron stores; however, these iron stores typically run out by 4–6 months of age. In addition, infants who are given
308:
Iron-deficiency anemia affected about 1.48 billion people in 2015. A lack of dietary iron is estimated to cause approximately half of all anemia cases globally. Women and young children are most commonly affected. In 2015, anemia due to iron deficiency resulted in about 54,000 deaths – down from
470:
A diagnosis of iron-deficiency anemia requires further investigation into its cause. It can be caused by increased iron demand, increased iron loss, or decreased iron intake. Increased iron demand often occurs during periods of growth, such as in children and pregnant women. For example, during
548:
contain iron, so blood loss also leads to a loss of iron. There are several causes of blood loss, including menstrual bleeding, gastrointestinal bleeding, stomach ulcers, and bleeding disorders. The bleeding may occur quickly or slowly. Slow, chronic blood loss within the body – such as from a
687:
and iron-fortified foods. For proper growth and development, infants and children need dietary iron. For children, a high intake of cow's milk is associated with an increased risk of iron-deficiency anemia. Other risk factors include low meat intake and low intake of iron-fortified products.
1547:
The prevalence of iron deficiency as a cause of anemia varies among countries; in the groups in which anemia is most common, including young children and a subset of non-pregnant women, iron deficiency accounts for a fraction of anemia cases in these groups (25% and 37%, respectively). Iron
700:
refers to the collective set of information as Dietary Reference Values, with Population Reference Intakes instead of RDAs, and Average Requirements instead of EARs. For women the Population Reference Intake is 13 mg/day ages 15–17 years, 16 mg/day for women ages 18 and up who are
774:
Iron deficiency affects maternal well-being by increasing risks for infections and complications during pregnancy. Some of these complications include pre-eclampsia, bleeding problems, and perinatal infections. Iron deficiency can lead to improper development of fetal tissues. Oral iron
1338:
is available in oral and IV preparations. When used as a treatment for IBD-related anemia, very low certainty evidence suggests a marked benefit with oral ferric maltol compared with placebo. However it was unclear whether the IV preparation was more effective than oral ferric maltol.
1032:
value is also characteristic of anemia. Further studies will be undertaken to determine the anemia's cause. If the anemia is due to iron deficiency, one of the first abnormal values to be noted on a complete blood count, as the body's iron stores begin to be depleted, will be a high
762:
Without iron supplementation, iron-deficiency anemia occurs in many pregnant women because their iron stores need to serve their own increased blood volume and be a source of hemoglobin for the growing baby and placental development. Other less common causes are intravascular
577:(heavy menstrual periods) are at risk of iron-deficiency anemia because they are at higher-than-normal risk of losing more iron during menstruation than is replaced in their diet. Most women lose about 40 mL of blood per cycle. Some birth control methods, such as pills and 1300:
have decreased the likelihood of this adverse effect. In certain cases intravenous iron is both safer and more effective than the oral route. For patients with severe anemia such as from blood loss, or who have severe symptoms such as cardiovascular instability, a
581:, may decrease the amount of blood and therefore iron lost during a menstrual cycle. Intermittent iron supplementation may be as effective a treatment in these cases as daily supplements and reduce some of the adverse effects of long term daily supplements. 1125:
index or percent) can be measured by dividing the level of serum iron by total iron binding capacity and is a value that can help to confirm the diagnosis of iron-deficiency anemia; however, other conditions must also be considered, including other types of
317:
Iron-deficiency anemia may be present without a person experiencing symptoms. It tends to develop slowly; therefore the body has time to adapt, and the disease often goes unrecognized for some time. If symptoms present, patients may present with the sign of
471:
stages of rapid growth, babies and adolescents may outpace their dietary intake of iron which can result in deficiency in the absence of disease or a grossly abnormal diet. Iron loss is typically from blood loss. One example of blood loss is by chronic
866:
is a peptide hormone produced in the liver that is responsible for regulating iron levels in the body. Hepcidin decreases the amount of iron available for erythropoesis (red blood cell production). Hepcidin binds to and induces the degradation of
292:
Iron deficiency anemia can be prevented by eating a diet containing sufficient amounts of iron or by iron supplementation. Foods high in iron include meat, nuts, and foods made with iron-fortified flour. Treatment may include dietary changes,
1316:, with fewer people needing to stop treatment early due to adverse effects. The type of iron preparation may be an important determinant of clinical benefit. Moderate-certainty evidence suggests response to treatment may be higher when IV 1554:
A map provides a country-by-country listing of what nutrients are fortified into specified foods. Some of the Sub-Saharan countries shown in the deaths from iron-deficiency anemia map from 2012 are as of 2018 fortifying foods with iron.
961:
also be helpful in guiding certain stool tests for parasites or their eggs. Although symptoms can play a role in identifying iron-deficiency anemia, they are often vague, which may limit their contribution to determining the diagnosis.
657:
is donated, approximately 200 mg of iron is lost from the body. The blood bank screens people for anemia before drawing blood for donation. If the patient has anemia, blood is not drawn. Less iron is lost if the person is donating
1246:, nausea, vomiting, metallic taste to the oral iron and dark colored stools. Constipation is reported by 15–20% of patients taking oral iron therapy. Preparations of iron therapy that take longer to be absorbed by the small intestine ( 682:
The body normally gets the iron it requires from food. If a person consumes too little iron, or iron that is poorly absorbed (non-heme iron), they can become iron deficient over time. Examples of iron-rich foods include meat, eggs,
449:
Iron-deficiency anemia is associated with poor neurological development, including decreased learning ability and altered motor functions. This is because iron deficiency impacts the development of the cells of the brain called
1253:
It can take six months to one year to get blood levels of iron up to a normal range and provide the body with iron stores. Oral iron replacement may not be effective in cases of iron deficiency due to malabsorption, such as
3969: 1157:
It is unclear if screening pregnant women for iron-deficiency anemia during pregnancy improves outcomes in the United States. The same holds true for screening children who are 6 to 24 months old. Even so, screening is a
3828:
Siu AL (October 2015). "Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to Improve Maternal Health and Birth Outcomes: U.S. Preventive Services Task Force Recommendation Statement".
4527: 4512: 4497: 778:
Some studies show that women pregnant during their teenage years can be at greater risk of iron-deficiency anemia due to an already increased need for iron and other nutrients during adolescent growth spurts.
483:
can be a source of blood loss causing iron-deficiency anemia. People who do not consume much iron in their diet, such as vegans or vegetarians, are also at increased risk of developing iron deficiency anemia.
1235:. The dosing of oral iron replacement therapy is as much as 100–200 mg per day in adults and 3–6 mg per kilogram in children. This is generally spread out as 3–4 pills taken throughout the day. 912:
continues normally. However, as these stores continue to be used, iron is eventually depleted to the point that red blood cell formation is abnormal. Ultimately, anemia ensues, which by definition is a
1826:"Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015" 334:, poor physical exertion, headaches, decreased ability to concentrate, cold hands and feet, cold sensitivity, increased thirst and confusion. None of these symptoms (or any of the others below) are 1774:"Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015" 3309:
Primack BA, Mahaniah KJ. Anemia. In: South-Paul JE, Matheny SC, Lewis EL. eds. CURRENT Diagnosis & Treatment: Family Medicine, 4e New York, NY: McGraw-Hill; . Accessed November 30, 2018.
2023:"Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013" 1109:. A low serum ferritin is most commonly found. However, serum ferritin can be elevated by any type of chronic inflammation and thus is not consistently decreased in iron-deficiency anemia. 1208:
For less severe cases, treatment of iron-deficiency anemia includes dietary changes to incorporate iron-rich foods into regular oral intake and oral iron supplementation. Foods rich in
717:
is a less common cause of iron-deficiency anemia, but many gastrointestinal disorders can reduce the body's ability to absorb iron. There are different mechanisms that may be present.
945:
therapy. Once iron deficiency anemia is confirmed, gastrointestinal blood loss is presumed to be the cause until proven otherwise since it can be caused by an otherwise asymptomatic
3977: 49: 3688:
Ivanova T, Klabukov I, Krikunova L, Poluektova MV, Sychenkova N, Khorokhorina V, Vorobyev N, Gaas M, Baranovskii D, Goryainova O, Sachko A, Shegay P, Kaprin A, Tillib S (2022).
3748: 3549:"Evidence that stainable bone marrow iron following parenteral iron therapy does not correlate with serum iron studies and may not represent readily available storage iron" 937:, with the marrow stained for iron. However, with the availability of reliable blood tests that can be more readily collected for iron-deficiency anemia diagnosis, a 728:
can also lead to malabsorption by altering the acidic environment needed for iron to be converted into its absorbable form. If there is insufficient production of
3690:"Prognostic Value of Serum Transferrin Analysis in Patients with Ovarian Cancer and Cancer-Related Functional Iron Deficiency: A Retrospective Case-Control Study" 4343:"The Proportion of Anemia Associated with Iron Deficiency in Low, Medium, and High Human Development Index Countries: A Systematic Analysis of National Surveys" 4294:"Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010" 1551:
Within the United States, iron-deficiency anemia affects about 2% of adult males, 10.5% of White women, and 20% of African-American and Mexican-American women.
1324:
preparation is used, despite very-low certainty evidence of increased adverse effects, including bleeding, in those receiving ferric carboxymaltose treatment.
1231:
than other preparations. Oral iron supplements are best taken up by the body on an empty stomach because food can decrease the amount of iron absorbed from the
2789:
Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Iron
434:(darkening of the skin around the eyes), the cause is unknown and assumed to be related to the iron-deficiency induced worse blood oxygenation and vitamin B12 1048:
also appears during the course of body iron depletion. It indicates a high number of abnormally small red blood cells. A low mean corpuscular volume, a low
222:. Children with iron deficiency anemia may have problems with growth and development. There may be additional symptoms depending on the underlying cause. 1772:
Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. (GBD 2015 Disease and Injury Incidence and Prevalence Collaborators) (October 2016).
2781: 1270:
people who do not tolerate oral iron, who are unlikely to respond to oral iron, or who require iron on a long-term basis. For example, people receiving
3750:
Technical consultation on the assessment of iron status at the population level. Assessing the iron status of populations: including literature reviews
832:
are early indicators of iron deficiency. Hepcidin concentrations are also connected to the complex relationship between malaria and iron deficiency.
637:, which typically occurs in older individuals, is another potential cause of gastrointestinal bleeding. In addition, some bleeding disorders, such as 4273: 4632: 1947: 4292:
Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. (GBD 2013 Mortality and Causes of Death Collaborators) (December 2012).
1747: 1700: 1216:
enhances iron absorption. Oral iron supplements are available in multiple forms. Some are in the form of pills and some are drops for children.
1824:
Wang H, Naghavi M, Allen C, Barber RM, Bhutta ZA, Carter A, et al. (GBD 2015 Mortality and Causes of Death Collaborators) (October 2016).
3923:
Adamson JW (2014). Iron Deficiency and Other Hypoproliferative Anemias. In: Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. eds.
2272:
Rangarajan S, D'Souza GA (April 2007). "Restless legs syndrome in Indian patients having iron deficiency anemia in a tertiary care hospital".
1884: 2712: 1616: 1358:
levels. Overall, hemoglobin was 0.71g/dl higher than those treated with oral iron supplements. Iron stores in the liver, estimated by serum
4808: 1163: 2021:
Naghavi M, Wang H, Lozano R, Davis A, Liang X, Zhou M, et al. (GBD 2013 Mortality and Causes of Death Collaborators) (January 2015).
5013: 4607: 5164: 4666: 3217:"Hemoglobin concentration and iron supplement during pregnancy were associated with an increased risk of gestational diabetes mellitus" 2835:"Overview on Dietary Reference Values for the EU population as derived by the EFSA Panel on Dietetic Products, Nutrition and Allergies" 1667: 844:. When the body has sufficient iron to meet its needs (functional iron), the remainder is stored for later use in cells, mostly in the 3764: 1266:
infection; these cases would require treatment of the underlying disease to increase oral absorption or intravenous iron replacement.
5116: 4938: 1053: 5008: 2578:"Intermittent iron supplementation for reducing anaemia and its associated impairments in adolescent and adult menstruating women" 4948: 4627: 2510: 462:
of the brain. Exact causation has not been established, but there is a possible long-term impact from these neurological issues.
4236: 3456: 941:
is usually not obtained. Furthermore, a study published April 2009 questions the value of stainable bone marrow iron following
904:
When the amount of iron needed by the body exceeds the amount of iron that is readily available, the body can use iron stores (
804:
Breastfed infants who have not received iron supplementation after age 6 months, or those receiving non-iron-fortified formulas
297:, and dealing with underlying causes, for example medical treatment for parasites or surgery for ulcers. Supplementation with 3953: 3812: 3787: 3758: 3672: 3632: 3531: 3279: 2938: 2910: 2864: 2796: 2560: 2490: 2386: 2344: 2316: 2205: 2173: 2118: 2005: 606: 4825: 2633: 4980: 4464: 1917: 4638: 1201:
severe acute cases, treatment measures are taken for immediate management in the interim, such as blood transfusions or
1376: 1354:, found low-certainty evidence that people receiving IV-iron treatment were 1.71 times as likely to reach their target 860:(and other animals) iron metabolism systems. Men store about 3.5 g of iron in their body, and women store about 2.5 g. 2834: 593:
women is gastrointestinal bleeding. There are many sources of gastrointestinal tract bleeding, including the stomach,
4989: 4960: 1034: 1016: 1581:
Janz TG, Johnson RL, Rubenstein SD (November 2013). "Anemia in the emergency department: evaluation and treatment".
5020: 4892: 1279: 211: 1113:
levels may be measured, but serum iron concentration is not as reliable as the measurement of both serum iron and
210:, or having decreased ability to exercise. Anemia that comes on quickly often has more severe symptoms, including 4206: 4262: 4953: 4659: 697: 504:); specifically, hookworms. The hookworms most commonly responsible for causing iron-deficiency anemia include 4974: 4882: 4616: 5194: 5047: 4999: 2810: 1456: 1368:(Monoferric) was approved in the United States in January 2020, for the treatment of iron deficiency anemia. 431: 5199: 4904: 4212: 807:
Children between the ages of 1 and 5 years old who receive more than 24 ounces (700 mL) of cow milk per day
771:. Iron deficiency in pregnancy appears to cause long-term and irreversible cognitive problems in the baby. 692: 3427:"Usefulness of the serum ferritin concentration in the detection of iron deficiency in a general hospital" 751: 5056: 4930: 4794: 4749: 1141:. It is very important not to treat people with thalassemia with an iron supplement, as this can lead to 1114: 1106: 1049: 1008: 998: 933:
Conventionally, a definitive diagnosis requires a demonstration of depleted body iron stores obtained by
573:
Menstrual bleeding is a common cause of iron deficiency anemia in women of child-bearing age. Women with
425: 335: 1166:
in pregnant women without symptoms and in infants considered high risk. Screening is done with either a
537:, and through their means of feeding and degradation, they can ultimately cause iron-deficiency anemia. 4994: 4820: 1939: 1297: 1259: 1146: 1137:
Further testing may be necessary to differentiate iron-deficiency anemia from other disorders, such as
950: 558: 258: 1739: 1692: 750:
is associated with an increased risk of iron deficiency anemia due to malabsorption of iron. During a
4921: 4911: 4899: 4652: 4341:
Petry N, Olofin I, Hurrell RF, Boy E, Wirth JP, Moursi M, Donahue Angel M, Rohner F (November 2016).
4099:
Gordon M, Sinopoulou V, Iheozor-Ejiofor Z, Iqbal T, Allen P, Hoque S, Engineer J, Akobeng AK (2021).
4050:
Gordon M, Sinopoulou V, Iheozor-Ejiofor Z, Iqbal T, Allen P, Hoque S, Engineer J, Akobeng AK (2021).
2522:
World Health Organization Fact Sheet No. 366, Soil-Transmitted Helminth Infections, updated June 2013
1911: 1452: 1343: 1309: 527: 523: 472: 3746: 3118: 5189: 4887: 4542: 2708: 1876: 724:, abnormal changes in the structure of the duodenum can decrease iron absorption. Abnormalities or 3216: 1608: 530:
worldwide. Parasitic worms cause both inflammation and chronic blood loss by binding to a human's
5092: 4943: 1045: 994: 938: 95: 3588:
Brady PG (October 2007). "Iron deficiency anemia: a call for aggressive diagnostic evaluation".
5083: 3625:
Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, Updated Edition
2902: 1351: 1159: 1122: 1057: 934: 684: 638: 512: 437: 4628:
https://ashpublications.org/hematology/article/2012/1/183/83845/How-to-approach-chronic-anemia
4582: 4506: 2462: 1995: 5063: 4830: 2137: 1659: 1317: 857: 741: 506: 2551:. In Kaushansky K, Lichtman MA, Prchal JT, Levi MM, Press OW, Burns LJ, Caligiuri M (eds.). 257:. Poor absorption of iron from food may occur as a result of an intestinal disorder such as 5073: 5068: 4876: 4762: 4401: 3381: 1365: 1149:
provides useful evidence for distinguishing these two conditions, along with iron studies.
654: 3865: 8: 5122: 4867: 4675: 4531: 4159:"Parenteral versus oral iron therapy for adults and children with chronic kidney disease" 3866:"Screening for Iron Deficiency Anemia in Young Children: USPSTF Recommendation Statement" 2679: 737: 709:
Iron from food is absorbed into the bloodstream in the small intestine, primarily in the
578: 4405: 3385: 3370:"Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries" 1192: 218:
or increased thirst. Anemia is typically significant before a person becomes noticeably
5154: 5127: 4732: 4425: 4413: 4369: 4342: 4318: 4293: 4183: 4158: 4125: 4100: 4076: 4051: 4024: 3999: 3724: 3689: 3496: 3471: 3443: 3402: 3369: 3345: 3320: 3252: 3192: 3167: 3143: 3088: 3045: 2996: 2762: 2610: 2577: 2506: 2431: 2406: 2249: 2222: 2047: 2022: 1850: 1825: 1798: 1773: 1068: 518: 412: 302: 75: 4309: 3548: 3215:
Si S, Shen Y, Xin X, Mo M, Shao B, Wang S, Luo W, Chen Z, Liu H, Chen D, Yu Y (2021).
2038: 1841: 1789: 605:). Gastrointestinal bleeding can result from regular use of some medications, such as 5159: 5149: 5108: 5103: 5098: 5039: 4871: 4860: 4850: 4784: 4767: 4758: 4740: 4702: 4553: 4456: 4417: 4374: 4323: 4188: 4130: 4081: 4029: 3949: 3887: 3846: 3808: 3783: 3754: 3729: 3711: 3668: 3628: 3605: 3570: 3527: 3501: 3487: 3448: 3407: 3350: 3285: 3275: 3256: 3244: 3236: 3197: 3148: 3119:"The impact of maternal iron deficiency and iron deficiency anemia on child's health" 3080: 3037: 3016:"Review article: the nutritional and pharmacological consequences of obesity surgery" 2988: 2934: 2906: 2895: 2860: 2802: 2792: 2754: 2659: 2615: 2597: 2556: 2486: 2436: 2382: 2340: 2312: 2289: 2254: 2201: 2169: 2114: 2052: 2001: 1855: 1803: 1590: 1302: 1138: 1061: 747: 729: 642: 634: 629:; however, these are required in some patients, especially those with states causing 493: 400: 355: 323: 203: 155: 122: 80: 63: 4536: 3426: 3092: 3049: 3000: 2766: 2657:
Adamson JW, Jameson J, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J (2005).
1223:; however, there are certain preparations of iron supplements that are designed for 4855: 4840: 4779: 4593: 4429: 4409: 4364: 4354: 4313: 4305: 4178: 4174: 4170: 4120: 4116: 4112: 4071: 4067: 4063: 4019: 4015: 4011: 3877: 3838: 3719: 3701: 3597: 3560: 3491: 3483: 3438: 3397: 3389: 3340: 3332: 3228: 3187: 3179: 3138: 3130: 3072: 3027: 2980: 2746: 2605: 2593: 2589: 2426: 2418: 2281: 2244: 2234: 2042: 2034: 1969: 1845: 1837: 1793: 1785: 1289: 1247: 1224: 1202: 1084: 744:
therapy), inhibiting the conversion of ferric iron to the absorbable ferrous iron.
663: 653:
Frequent blood donors are also at risk for developing iron deficiency anemia. When
270: 147: 104: 4101:"Interventions for treating iron deficiency anaemia in inflammatory bowel disease" 4052:"Interventions for treating iron deficiency anaemia in inflammatory bowel disease" 2779: 901:. When red blood cells are degraded, the iron is recycled by the body and stored. 5034: 4620: 4547: 3601: 2422: 1544:
375 million. Iron deficiency affects up to 52% of pregnant women worldwide.
1347: 1271: 1239: 1232: 1228: 1220: 1187: 1183: 1142: 1118: 1056:, and the corresponding appearance of red blood cells on visual examination of a 942: 886: 841: 602: 598: 590: 534: 531: 342: 331: 294: 242: 187: 115: 37: 3472:"Detecting iron deficiency in anemic patients with concomitant medical problems" 3183: 2737:
Decsi T, Lohner S (2014). "Gaps in meeting nutrient needs in healthy toddlers".
2285: 5051: 4679: 4154: 3747:
World Health Organization, Centers for Disease Control and Prevention. (2007).
3076: 1906: 1283: 1275: 1255: 1080: 1072: 909: 898: 878: 768: 721: 554: 545: 455: 421: 382: 274: 266: 262: 246: 191: 56: 4644: 4558: 4444: 3134: 2223:"Study of Causative Factors and Clinical Patterns of Periorbital Pigmentation" 1238:
The various forms of treatment are not without possible adverse side effects.
5183: 3715: 3565: 3289: 3240: 2601: 2239: 1327: 1213: 1209: 714: 630: 622: 497: 230: 100: 4521: 3944:
Kasper D, Fauci A, Hauser S, Longo D, Jameson JL, Loscalzo J (2015). "126".
3336: 3232: 788:
cow's milk too early can develop anemia due to gastrointestinal blood loss.
4694: 4460: 4421: 4378: 4327: 4192: 4134: 4085: 4033: 3891: 3882: 3850: 3733: 3609: 3574: 3411: 3354: 3248: 3201: 3152: 3084: 3041: 2992: 2806: 2758: 2619: 2440: 2293: 2258: 2056: 1859: 1807: 1594: 1321: 1243: 1091: 1076: 1038: 946: 733: 614: 562: 550: 376: 365: 250: 234: 3505: 2984: 1071:(pale, relatively colorless) and small red blood cells, and may also show 4845: 4803: 4639:
NPS News 70: Iron deficiency anaemia: NPS – Better choices, Better health
4577: 4263:"Mortality and Burden of Disease Estimates for WHO Member States in 2002" 3452: 1293: 1102: 1012: 954: 894: 890: 868: 845: 725: 618: 574: 480: 406: 349:, has been suggested to be the most specific for iron deficiency anemia. 286: 127: 3970:"KDIGO clinical practice guideline for anemia in chronic kidney disease" 3706: 4814: 3393: 3274:(2nd ed.). Elk Grove Village, IL: American Academy of Pediatrics. 2463:
M. Tarek Elghetany, Katherine I. Schexneider and Katalin Banki (2017).
1355: 1308:
Low-certainty evidence suggests that IBD-related anemia treatment with
1171: 1167: 1110: 1098: 1029: 1025: 990: 914: 882: 346: 285:
increase the risk of iron deficiency anemia. Diagnosis is confirmed by
238: 226: 215: 195: 142: 68: 4489: 4359: 3032: 3015: 2750: 2548: 1242:
by mouth commonly causes negative gastrointestinal effects, including
1024:
Anemia is often discovered by routine blood tests. A sufficiently low
929:
Blood smear of a person with iron-deficiency anemia at 40X enhancement
4588: 3842: 1313: 1263: 1219:
Most forms of oral iron replacement therapy are absorbed well by the
764: 594: 501: 417: 394: 352:
Other possible symptoms and signs of iron-deficiency anemia include:
298: 254: 151: 4613: 4098: 4049: 3063:
Lozoff B (December 2007). "Iron deficiency and child development".
1380:
Deaths due to iron-deficiency anaemia per million persons in 2012:
1359: 1094: 1067:
The blood smear of a person with iron-deficiency anemia shows many
986: 905: 863: 853: 829: 710: 659: 626: 388: 282: 4000:"Single-dose intravenous iron for iron deficiency: a new paradigm" 3687: 957:
to evaluate for cancer or bleeding of the gastrointestinal tract.
526:
estimates that approximately two billion people are infected with
16:
Reduced ability of the blood to carry oxygen due to a lack of iron
3321:"Role of hepcidin in the pathophysiology and diagnosis of anemia" 674: 610: 327: 278: 207: 84: 2971:
Longo DL, Camaschella C (7 May 2015). "Iron-Deficiency Anemia".
1459:
for iron-deficiency anemia per 100,000 inhabitants in 2004:
48: 4723: 4516: 4501: 4157:, Craig JC (2019). Cochrane Kidney and Transplant Group (ed.). 4152: 2465:
Henry's Clinical Diagnosis and Management by Laboratory Methods
2198:
Henry's Clinical Diagnosis and Management by Laboratory Methods
2113:. Elsevier/Saunders. pp. 1052–1059, 1068–1073, 2159–2164. 1282:
are given parenteral iron, which helps the body respond to the
1127: 476: 459: 451: 370: 319: 219: 183: 88: 925: 4004:
Hematology. American Society of Hematology. Education Program
849: 791:
Children who are at risk for iron-deficiency anemia include:
199: 2931:
Sleisenger and Fordtran's Gastrointestinal and Liver Disease
1609:"What Are the Signs and Symptoms of Iron-Deficiency Anemia?" 2780:
Institute of Medicine (US) Panel on Micronutrients (2001).
2306: 874: 589:
The most common cause of iron deficiency anemia in men and
492:
The leading cause of iron-deficiency anemia worldwide is a
233:
of iron from food. Sources of blood loss can include heavy
3425:
Mazza J, Barr RM, McDonald JW, Valberg LS (October 1978).
2220: 1292:
can induce an allergic response that can be as serious as
1090:
Iron-deficiency anemia is confirmed by tests that include
3272:
American Academy of Pediatrics textbook of pediatric care
2656: 2575: 4392:
Sifakis S, Pharmakides G (2000). "Anemia in pregnancy".
3665:
Lanzkowsky's Manual of Pediatric Hematology and Oncology
3424: 379:(feeling that the heart is skipping beats or fluttering) 345:
may also develop; of which consumption of ice, known as
4291: 1028:
by definition makes the diagnosis of anemia, and a low
202:. When onset is slow, symptoms are often vague such as 3943: 3168:"Iron deficiency anemia: a common and curable disease" 2020: 1823: 1250:
iron therapy) are less likely to cause constipation.
678:
In many countries, wheat flour is fortified with iron.
458:
get priority on iron, and it is shifted away from the
4442: 4340: 3014:
Stein J, Stier C, Raab H, Weiner R (September 2014).
2928: 2892: 2576:
Fernández-Gaxiola AC, De-Regil LM (31 January 2019).
2271: 2221:
Mendiratta V, Rana S, Jassi R, Chander R (Jun 2019).
1580: 1037:, reflecting an increased variability in the size of 881:
in the body, particularly as a critical component of
301:
may be recommended. Severe cases may be treated with
4479: 4229: 3662: 3013: 2680:"Map: Count of Nutrients In Fortification Standards" 2404: 2483:
Murray and Nadel's Textbook of Respiratory Medicine
2481:Broaddus VC, Mason R, Ernst J, et al. (2016). 1771: 877:is a mineral that is important in the formation of 190:. Anemia is defined as a decrease in the number of 4391: 3997: 3622: 2894: 2658: 2480: 2307:Kliegman R, Stanton B, St Geme J, Schor N (2016). 801:Infants fed with cow's milk under 12 months of age 561:, a colon polyp or gastrointestinal cancer (e.g., 326:in skin or mucous membranes), and the symptoms of 1342:A Cochrane review of controlled trials comparing 5181: 4443:Killip S, Bennett JM, Chambers MD (March 2007). 4287: 4285: 4283: 2970: 2311:. Elsevier Health Sciences. pp. 2323–2326. 341:In severe cases, shortness of breath can occur. 4674: 3647: 3546: 3367: 2195: 970:Change in lab values in iron deficiency anemia 3805:Stoelting's Anesthesia and Co-existing Disease 3802: 3782:. Philadelphia, PA: Elsevier. pp. 23–31. 3780:Instant Work-ups: A Clinical Guide to Medicine 2966: 2964: 2962: 2960: 2958: 2956: 2954: 2952: 2950: 2376: 2108: 1940:"How Can Iron-Deficiency Anemia Be Prevented?" 1660:"What Is Iron-Deficiency Anemia? – NHLBI, NIH" 409:(spoon-shaped nails) or nails that are brittle 4660: 4280: 4207:"Drug Approval Package: Monoferric Injection" 4153:O'Lone EL, Hodson EM, Nistor I, Bolignano D, 3777: 3521: 2857:Shackelford's Surgery of the Alimentary Tract 2703: 2701: 2080: 1687: 1685: 1654: 403:(inflammatory lesions at the mouth's corners) 4809:Glucose-6-phosphate dehydrogenase deficiency 3318: 2791:. National Academy Press. pp. 290–393. 2542: 2540: 2538: 2536: 2534: 2532: 2530: 2528: 2405:Baird-Gunning J, Bromley J (December 2016). 2265: 1767: 1765: 1652: 1650: 1648: 1646: 1644: 1642: 1640: 1638: 1636: 1634: 1064:(literally, a small red blood cell anemia). 584: 500:caused by infestation with parasitic worms ( 420:(difficulty swallowing) due to formation of 4693: 4237:"Monoferric- ferric derisomaltose solution" 3214: 3172:Cold Spring Harbor Perspectives in Medicine 2947: 2736: 2665:(20th ed.). New York, NY: McGraw-Hill. 2582:The Cochrane Database of Systematic Reviews 2555:(9th ed.). New York, NY: McGraw Hill. 2334: 2085:. Philadelphia: Elsevier. pp. 403–405. 1871: 1869: 1819: 1817: 1734: 1732: 1730: 1728: 1726: 1724: 1722: 1720: 1718: 5165:Hereditary persistence of fetal hemoglobin 4667: 4653: 4394:Annals of the New York Academy of Sciences 3998:Auerbach M, Deloughery T (December 2016). 3974:Agency for Healthcare Research and Quality 3946:Harrison's Principles of Internal Medicine 3925:Harrison's Principles of Internal Medicine 3374:Annals of the New York Academy of Sciences 3116: 3020:Alimentary Pharmacology & Therapeutics 2732: 2730: 2698: 2661:Harrison's Principles of Internal Medicine 2400: 2398: 1693:"How Is Iron-Deficiency Anemia Diagnosed?" 1682: 1212:(vitamin C) can also be beneficial, since 47: 5117:Mean corpuscular hemoglobin concentration 4939:Warm antibody autoimmune hemolytic anemia 4635:– From the National Anemia Action Council 4368: 4358: 4317: 4182: 4124: 4075: 4023: 3881: 3723: 3705: 3627:. Elsevier/Saunders. pp. 3196–3198. 3564: 3495: 3469: 3442: 3401: 3344: 3191: 3142: 3031: 2609: 2525: 2430: 2248: 2238: 2046: 1849: 1797: 1762: 1631: 1576: 1574: 1572: 1570: 1568: 1054:mean corpuscular hemoglobin concentration 397:(inflammation or infection of the tongue) 3269: 2929:Feldman M, Friedman L, Brandt L (2016). 2893:Porwit A, McCullough J, Erber W (2011). 1866: 1814: 1740:"How Is Iron-Deficiency Anemia Treated?" 1715: 1548:deficiency is common in pregnant women. 1451: 1375: 1191: 924: 673: 354: 4641:– From the National Prescribing Service 4614:Interactive material on Iron Metabolism 4163:Cochrane Database of Systematic Reviews 4105:Cochrane Database of Systematic Reviews 4056:Cochrane Database of Systematic Reviews 3663:Lanzkowsky P, Lipton J, Fish J (2016). 3650:Current Medical Diagnosis and Treatment 3368:Chaparro CM, Suchdev PS (August 2019). 2933:. Elsevier Saunders. pp. 297–335. 2727: 2485:. Elsevier Saunders. pp. 682–698. 2395: 2379:Haematology: An Illustrated Colour Text 889:, iron travels through blood, bound to 813:Children with special health care needs 645:, can cause gastrointestinal bleeding. 5182: 4148: 4146: 4144: 4045: 4043: 3919: 3917: 3915: 3913: 3911: 3909: 3907: 3905: 3903: 3901: 3553:American Journal of Clinical Pathology 3547:Thomason RW, Almiski MS (April 2009). 3305: 3303: 3301: 3299: 3165: 3112: 3110: 3108: 3106: 3104: 3102: 3062: 2715:from the original on November 27, 2012 2674: 2672: 2507:"Soil-transmitted helminth infections" 2458: 2456: 2454: 2452: 2450: 2200:. Elsevier. pp. 84–101, 559–605. 2168:. Elsevier. pp. 87–88, e1–e3713. 2132: 2130: 2076: 2074: 2072: 2070: 2068: 2066: 1565: 810:Children with low socioeconomic status 565:) – can cause iron-deficiency anemia. 475:, which could be linked to a possible 4722: 4648: 3939: 3937: 3935: 3933: 3623:Bennett J, Dolin R, Blaser M (2015). 3587: 3517: 3515: 2924: 2922: 2888: 2886: 2884: 2882: 2880: 2878: 2876: 2476: 2474: 2372: 2370: 2368: 2366: 2364: 2362: 2360: 2358: 2356: 2330: 2328: 2191: 2189: 2187: 2185: 2163: 2159: 2157: 2104: 2102: 2100: 2098: 2096: 2094: 2092: 1993: 1877:"What Causes Iron-Deficiency Anemia?" 1083:), but severe cases can present with 704: 607:non-steroidal anti-inflammatory drugs 568: 312: 216:feeling like one is going to pass out 137:Dietary changes, medications, surgery 4826:triosephosphate isomerase deficiency 3667:. Elsevier Science. pp. 69–83. 3476:Journal of General Internal Medicine 3431:Canadian Medical Association Journal 3117:Abu-Ouf NM, Jan MM (February 2015). 2739:Annals of Nutrition & Metabolism 2634:"Colon cancer – Symptoms and causes" 2546: 828:Decreased levels of serum and urine 487: 454:. When the body is low on iron, the 444: 225:Iron-deficiency anemia is caused by 4981:paroxysmal nocturnal hemoglobinuria 4949:Donath–Landsteiner hemolytic anemia 4929: 4467:from the original on 11 March 2016. 4141: 4092: 4040: 3898: 3863: 3827: 3296: 3099: 2854: 2669: 2447: 2127: 2063: 1286:agents to produce red blood cells. 1164:US Preventative Services Task Force 840:Anemia can result from significant 13: 4626:Approach to chronic anemia : 4414:10.1111/j.1749-6632.2000.tb06223.x 3930: 3512: 2919: 2901:. Churchill Livingstone. pp.  2873: 2471: 2353: 2325: 2182: 2154: 2089: 949:. Initial evaluation must include 229:, insufficient dietary intake, or 14: 5211: 4990:Microangiopathic hemolytic anemia 4961:Mixed autoimmune hemolytic anemia 4475: 2138:"What Is Iron Deficiency Anemia?" 1950:from the original on 28 July 2017 1920:from the original on 13 July 2017 1887:from the original on 14 July 2017 1750:from the original on 28 July 2017 1703:from the original on 15 July 2017 1670:from the original on 16 July 2017 1115:serum iron-binding protein levels 1035:red blood cell distribution width 1017:red blood cell distribution width 757: 648: 5021:Hemolytic disease of the newborn 4276:from the original on 2013-01-16. 3927:, 19e New York, NY: McGraw-Hill. 3648:McPhee SJ, Papadakis MA (2009). 3488:10.1046/j.1525-1497.1998.00134.x 3459:from the original on 8 May 2009. 1619:from the original on 5 July 2017 1280:erythropoiesis-stimulating agent 893:, and eventually ends up in the 736:can occur (often due to chronic 732:in the stomach, hypochlorhydria/ 479:. In women of childbearing age, 359:Koilonychia (spoon-shaped nails) 4633:Handout: Iron Deficiency Anemia 4436: 4385: 4334: 4255: 4199: 3991: 3962: 3857: 3821: 3796: 3771: 3740: 3681: 3656: 3641: 3616: 3581: 3540: 3463: 3418: 3361: 3312: 3263: 3208: 3159: 3056: 3007: 2973:New England Journal of Medicine 2897:Blood and Bone Marrow Pathology 2848: 2827: 2773: 2650: 2626: 2569: 2513:from the original on 2014-02-21 2499: 2300: 2214: 2014: 2000:. Academic Press. p. 477. 1987: 1962: 1932: 1371: 1274:treatment who are also getting 917:lab value below normal limits. 726:surgical removal of the stomach 4954:Paroxysmal cold hemoglobinuria 4175:10.1002/14651858.CD007857.pub3 4117:10.1002/14651858.CD013529.pub2 4068:10.1002/14651858.CD013529.pub2 4016:10.1182/asheducation-2016.1.57 3807:. Elsevier. pp. 477–506. 3526:. Elsevier. pp. 403–405. 3470:Kis AM, Carnes M (July 1998). 2842:European Food Safety Authority 2711:. Mayo Clinic. March 4, 2011. 2594:10.1002/14651858.CD009218.pub3 2549:"Iron Deficiency and Overload" 2339:. Elsevier. pp. 296–340. 2196:McPherson R, Pincus M (2017). 2081:Bope ET, Kellerman RD (2018). 1899: 1601: 1310:Intravenous (IV) iron infusion 964: 856:complexes and are part of the 816:Children of Hispanic ethnicity 698:European Food Safety Authority 631:a tendency to form blood clots 1: 4310:10.1016/S0140-6736(12)61729-2 3976:. August 2012. Archived from 3803:Hines R, Marschall K (2018). 2684:Food Fortification Initiative 2467:. Elsevier. pp. 559–605. 2377:Howard M, Hamilton P (2013). 2309:Nelson Textbook of Pediatrics 2166:Ferri's Clinical Advisor 2018 2109:Goldman L, Schafer A (2016). 2039:10.1016/S0140-6736(14)61682-2 1974:Office of Dietary Supplements 1842:10.1016/s0140-6736(16)31012-1 1790:10.1016/S0140-6736(16)31678-6 1558: 1457:Disability-adjusted life year 1344:intravenous (IV) iron therapy 540: 432:Periorbital hyperpigmentation 4905:Southeast Asian ovalocytosis 4893:Minkowski–Chauffard syndrome 4213:Food and Drug Administration 3694:Journal of Clinical Medicine 3602:10.1097/SMJ.0b013e3181520699 3522:Kellerman R, Bope E (2018). 2423:10.18773/austprescr.2016.069 2407:"Correcting iron deficiency" 2381:. Elsevier. pp. 24–25. 1907:"Micronutrient deficiencies" 1177: 1152: 920: 908:) for a period of time, and 835: 693:National Academy of Medicine 7: 3831:Annals of Internal Medicine 3524:Conn's Current Therapy 2018 3184:10.1101/cshperspect.a011866 3065:Food and Nutrition Bulletin 2286:10.1016/j.sleep.2006.10.004 1583:Emergency Medicine Practice 1350:supplements in people with 1312:may be more effective than 1107:total iron binding capacity 1050:mean corpuscular hemoglobin 1009:total iron-binding capacity 999:mean corpuscular hemoglobin 823: 819:Children who are overweight 782: 601:, and the large intestine ( 473:gastrointestinal blood loss 10: 5216: 5014:Drug-induced nonautoimmune 4995:Thrombotic microangiopathy 4821:pyruvate kinase deficiency 3077:10.1177/15648265070284S409 2335:Polin R, Ditmar M (2016). 1260:inflammatory bowel disease 1181: 1147:hemoglobin electrophoresis 951:esophagogastroduodenoscopy 897:, where it is involved in 852:. These stores are called 559:inflammatory bowel disease 528:soil-transmitted helminths 259:inflammatory bowel disease 5142: 5082: 5033: 5000:Hemolytic–uremic syndrome 4920: 4912:Hereditary stomatocytosis 4900:Hereditary elliptocytosis 4793: 4778: 4731: 4715: 4686: 4568: 4483: 4449:American Family Physician 4270:World Health Organization 3319:D'Angelo G (March 2013). 3135:10.15537/smj.2015.2.10289 1912:World Health Organization 1075:(variation in shape) and 1060:narrows the problem to a 585:Gastrointestinal bleeding 524:World Health Organization 169: 161: 141: 133: 121: 111: 94: 74: 62: 55: 46: 35:Iron-deficiency anaemia, 31: 26: 4888:Hereditary spherocytosis 4445:"Iron deficiency anemia" 3590:Southern Medical Journal 3566:10.1309/AJCPBAY9KRZF8NUC 2709:"Iron deficiency anemia" 2240:10.4103/idoj.IDOJ_158_18 2227:Indian Dermatol Online J 910:red blood cell formation 899:red blood cell formation 798:Low birth weight infants 740:infections or long-term 465: 309:213,000 deaths in 1990. 5093:Mean corpuscular volume 5057:Diamond–Blackfan anemia 5009:Drug-induced autoimmune 4944:Cold agglutinin disease 4750:Plummer–Vinson syndrome 3864:Siu AL (October 2015). 3337:10.5045/br.2013.48.1.10 3233:10.1111/1753-0407.13101 3166:Miller JL (July 2013). 1589:(11): 1–15, quiz 15–6. 1046:mean corpuscular volume 995:mean corpuscular volume 669: 481:heavy menstrual periods 426:Plummer–Vinson syndrome 391:, or burning sensations 265:, or surgery such as a 4745:Iron-deficiency anemia 4610:– From IronTherapy.Org 4608:The Importance of Iron 3883:10.1542/peds.2015-2567 2111:Goldman-Cecil Medicine 2083:Conn's Current Therapy 1540: 1449: 1352:chronic kidney disease 1197: 1160:Level B recommendation 1123:transferrin saturation 1087:(low platelet count). 1058:peripheral blood smear 939:bone marrow aspiration 935:bone marrow aspiration 930: 685:leafy green vegetables 679: 639:von Willebrand disease 513:Ancylostoma ceylanicum 438:Restless legs syndrome 360: 255:urinary tract bleeding 180:Iron-deficiency anemia 27:Iron-deficiency anemia 5064:Pure red cell aplasia 4831:hexokinase deficiency 3123:Saudi Medical Journal 2985:10.1056/NEJMra1401038 2411:Australian Prescriber 1455: 1379: 1318:ferric carboxymaltose 1296:, although different 1195: 928: 752:Roux-en-Y anastamosis 742:proton-pump inhibitor 677: 507:Ancylostoma duodenale 358: 336:sensitive or specific 107:, frequent infections 5195:Mineral deficiencies 5069:Sideroblastic anemia 4877:Hemoglobin C disease 4763:Megaloblastic anemia 4623:– From IronAtlas.com 3778:O'Connell T (2017). 3270:McInerny TK (2017). 3071:(4 Suppl): S560-71. 2859:. pp. 821–838. 1836:(10053): 1459–1544. 1784:(10053): 1545–1602. 1537: More than 1000 1366:Ferric derisomaltose 1240:Iron supplementation 1117:. The percentage of 5200:Nutritional anemias 4868:Sickle cell disease 4406:2000NYASA.900..125S 3753:(second ed.). 3707:10.3390/jcm11247377 3386:2019NYASA1450...15C 3221:Journal of Diabetes 2553:Williams Hematology 1305:may be considered. 971: 330:, weak, dizziness, 305:or iron infusions. 165:1.48 billion (2015) 85:shortness of breath 5155:Sulfhemoglobinemia 4619:2016-05-29 at the 4569:External resources 3767:on March 19, 2014. 3394:10.1111/nyas.14092 1541: 1471: Less than 50 1450: 1198: 969: 931: 705:Iron malabsorption 680: 569:Menstrual bleeding 519:Necator americanus 361: 313:Signs and symptoms 303:blood transfusions 156:blood transfusions 42:Sideropenic Anemia 5177: 5176: 5173: 5172: 5160:Reticulocytopenia 5150:Methemoglobinemia 5138: 5137: 5029: 5028: 4969: 4968: 4768:Pernicious anemia 4711: 4710: 4703:Polycythemia vera 4603: 4602: 4360:10.3390/nu8110693 4304:(9859): 2163–96. 4243:. 24 January 2020 3955:978-0-07-180215-4 3948:(19th ed.). 3814:978-0-323-40137-1 3789:978-0-323-37641-9 3760:978-92-4-159610-7 3674:978-0-12-801368-7 3634:978-0-323-40161-6 3533:978-0-323-52769-9 3281:978-1-61002-047-3 3033:10.1111/apt.12872 2979:(19): 1832–1843. 2940:978-1-4557-4692-7 2912:978-0-7020-3147-2 2866:978-1-4377-2206-2 2798:978-0-309-07279-3 2751:10.1159/000365795 2686:. 29 October 2018 2562:978-0-07-183301-1 2492:978-1-4557-3383-5 2388:978-0-7020-5139-5 2346:978-0-323-31030-7 2337:Pediatric Secrets 2318:978-1-4557-7566-8 2207:978-0-323-29568-0 2175:978-0-323-28049-5 2120:978-1-4557-5017-7 2007:978-0-12-381980-2 1994:Combs GF (2012). 1946:. 26 March 2014. 1883:. 26 March 2014. 1746:. 26 March 2014. 1699:. 26 March 2014. 1666:. 26 March 2014. 1664:www.nhlbi.nih.gov 1615:. 26 March 2014. 1320:, rather than IV 1314:oral iron therapy 1303:blood transfusion 1162:suggested by the 1139:thalassemia minor 1062:microcytic anemia 1022: 1021: 748:Bariatric surgery 730:hydrochloric acid 664:white blood cells 643:polycythemia vera 494:parasitic disease 488:Parasitic disease 445:Child development 401:Angular cheilitis 194:or the amount of 177: 176: 123:Diagnostic method 21:Medical condition 5207: 4927: 4926: 4841:hemoglobinopathy 4791: 4790: 4729: 4728: 4720: 4719: 4691: 4690: 4669: 4662: 4655: 4646: 4645: 4481: 4480: 4469: 4468: 4440: 4434: 4433: 4389: 4383: 4382: 4372: 4362: 4338: 4332: 4331: 4321: 4289: 4278: 4277: 4267: 4259: 4253: 4252: 4250: 4248: 4233: 4227: 4226: 4224: 4222: 4203: 4197: 4196: 4186: 4150: 4139: 4138: 4128: 4096: 4090: 4089: 4079: 4047: 4038: 4037: 4027: 3995: 3989: 3988: 3986: 3985: 3966: 3960: 3959: 3941: 3928: 3921: 3896: 3895: 3885: 3861: 3855: 3854: 3843:10.7326/m15-1707 3825: 3819: 3818: 3800: 3794: 3793: 3775: 3769: 3768: 3763:. Archived from 3744: 3738: 3737: 3727: 3709: 3685: 3679: 3678: 3660: 3654: 3653: 3645: 3639: 3638: 3620: 3614: 3613: 3585: 3579: 3578: 3568: 3544: 3538: 3537: 3519: 3510: 3509: 3499: 3467: 3461: 3460: 3446: 3422: 3416: 3415: 3405: 3365: 3359: 3358: 3348: 3316: 3310: 3307: 3294: 3293: 3267: 3261: 3260: 3212: 3206: 3205: 3195: 3163: 3157: 3156: 3146: 3114: 3097: 3096: 3060: 3054: 3053: 3035: 3011: 3005: 3004: 2968: 2945: 2944: 2926: 2917: 2916: 2900: 2890: 2871: 2870: 2852: 2846: 2845: 2839: 2831: 2825: 2824: 2822: 2821: 2815: 2809:. Archived from 2786: 2777: 2771: 2770: 2734: 2725: 2724: 2722: 2720: 2705: 2696: 2695: 2693: 2691: 2676: 2667: 2666: 2664: 2654: 2648: 2647: 2645: 2644: 2630: 2624: 2623: 2613: 2573: 2567: 2566: 2544: 2523: 2521: 2519: 2518: 2503: 2497: 2496: 2478: 2469: 2468: 2460: 2445: 2444: 2434: 2402: 2393: 2392: 2374: 2351: 2350: 2332: 2323: 2322: 2304: 2298: 2297: 2269: 2263: 2262: 2252: 2242: 2218: 2212: 2211: 2193: 2180: 2179: 2164:Ferri F (2018). 2161: 2152: 2151: 2149: 2148: 2134: 2125: 2124: 2106: 2087: 2086: 2078: 2061: 2060: 2050: 2033:(9963): 117–71. 2018: 2012: 2011: 1991: 1985: 1984: 1982: 1980: 1966: 1960: 1959: 1957: 1955: 1936: 1930: 1929: 1927: 1925: 1903: 1897: 1896: 1894: 1892: 1873: 1864: 1863: 1853: 1821: 1812: 1811: 1801: 1769: 1760: 1759: 1757: 1755: 1736: 1713: 1712: 1710: 1708: 1689: 1680: 1679: 1677: 1675: 1656: 1629: 1628: 1626: 1624: 1605: 1599: 1598: 1578: 1536: 1530: 1524: 1518: 1512: 1506: 1500: 1494: 1488: 1482: 1476: 1470: 1464: 1445: 1439: 1433: 1427: 1421: 1415: 1409: 1403: 1397: 1391: 1385: 1290:Intravenous iron 1248:extended release 1203:intravenous iron 1085:thrombocytopenia 972: 968: 532:small-intestinal 295:iron supplements 271:developing world 243:uterine fibroids 148:Iron supplements 51: 24: 23: 5215: 5214: 5210: 5209: 5208: 5206: 5205: 5204: 5190:Iron metabolism 5180: 5179: 5178: 5169: 5134: 5078: 5037: 5025: 4965: 4916: 4782: 4774: 4707: 4682: 4680:red blood cells 4673: 4621:Wayback Machine 4604: 4599: 4598: 4564: 4563: 4492: 4478: 4473: 4472: 4441: 4437: 4390: 4386: 4339: 4335: 4290: 4281: 4265: 4261: 4260: 4256: 4246: 4244: 4235: 4234: 4230: 4220: 4218: 4205: 4204: 4200: 4169:(2): CD007857. 4151: 4142: 4111:(1): CD013529. 4097: 4093: 4062:(1): CD013529. 4048: 4041: 3996: 3992: 3983: 3981: 3968: 3967: 3963: 3956: 3942: 3931: 3922: 3899: 3862: 3858: 3826: 3822: 3815: 3801: 3797: 3790: 3776: 3772: 3761: 3745: 3741: 3686: 3682: 3675: 3661: 3657: 3646: 3642: 3635: 3621: 3617: 3586: 3582: 3545: 3541: 3534: 3520: 3513: 3468: 3464: 3423: 3419: 3366: 3362: 3317: 3313: 3308: 3297: 3282: 3268: 3264: 3213: 3209: 3164: 3160: 3115: 3100: 3061: 3057: 3012: 3008: 2969: 2948: 2941: 2927: 2920: 2913: 2891: 2874: 2867: 2853: 2849: 2837: 2833: 2832: 2828: 2819: 2817: 2813: 2799: 2784: 2778: 2774: 2735: 2728: 2718: 2716: 2707: 2706: 2699: 2689: 2687: 2678: 2677: 2670: 2655: 2651: 2642: 2640: 2632: 2631: 2627: 2588:(5): CD009218. 2574: 2570: 2563: 2547:Ganz T (2016). 2545: 2526: 2516: 2514: 2505: 2504: 2500: 2493: 2479: 2472: 2461: 2448: 2403: 2396: 2389: 2375: 2354: 2347: 2333: 2326: 2319: 2305: 2301: 2270: 2266: 2219: 2215: 2208: 2194: 2183: 2176: 2162: 2155: 2146: 2144: 2136: 2135: 2128: 2121: 2107: 2090: 2079: 2064: 2019: 2015: 2008: 1992: 1988: 1978: 1976: 1968: 1967: 1963: 1953: 1951: 1938: 1937: 1933: 1923: 1921: 1905: 1904: 1900: 1890: 1888: 1875: 1874: 1867: 1822: 1815: 1770: 1763: 1753: 1751: 1738: 1737: 1716: 1706: 1704: 1691: 1690: 1683: 1673: 1671: 1658: 1657: 1632: 1622: 1620: 1607: 1606: 1602: 1579: 1566: 1561: 1539: 1538: 1534: 1532: 1528: 1526: 1522: 1520: 1516: 1514: 1510: 1508: 1504: 1502: 1498: 1496: 1492: 1490: 1486: 1484: 1480: 1478: 1474: 1472: 1468: 1466: 1462: 1448: 1447: 1443: 1441: 1437: 1435: 1431: 1429: 1425: 1423: 1419: 1417: 1413: 1411: 1407: 1405: 1401: 1399: 1395: 1393: 1389: 1387: 1383: 1374: 1233:small intestine 1229:small intestine 1221:small intestine 1190: 1188:Lucky iron fish 1184:Iron deficiency 1180: 1155: 1143:hemochromatosis 1119:iron saturation 1039:red blood cells 967: 943:parenteral iron 923: 887:small intestine 879:red blood cells 842:iron deficiency 838: 826: 795:Preterm infants 785: 760: 707: 672: 651: 599:small intestine 591:post-menopausal 587: 571: 546:Red blood cells 543: 490: 468: 456:red blood cells 447: 442: 422:esophageal webs 332:lightheadedness 315: 275:parasitic worms 231:poor absorption 208:short of breath 192:red blood cells 116:Iron deficiency 57:Red blood cells 22: 17: 12: 11: 5: 5213: 5203: 5202: 5197: 5192: 5175: 5174: 5171: 5170: 5168: 5167: 5162: 5157: 5152: 5146: 5144: 5140: 5139: 5136: 5135: 5133: 5132: 5131: 5130: 5125: 5113: 5112: 5111: 5106: 5101: 5088: 5086: 5080: 5079: 5077: 5076: 5071: 5066: 5059: 5054: 5052:Fanconi anemia 5045: 5043: 5031: 5030: 5027: 5026: 5024: 5023: 5017: 5016: 5011: 5005: 5004: 5003: 5002: 4992: 4986: 4985: 4984: 4983: 4970: 4967: 4966: 4964: 4963: 4958: 4957: 4956: 4946: 4941: 4935: 4933: 4924: 4918: 4917: 4915: 4914: 4909: 4908: 4907: 4897: 4896: 4895: 4879: 4874: 4865: 4864: 4863: 4858: 4853: 4836: 4835: 4834: 4833: 4828: 4823: 4811: 4799: 4797: 4788: 4776: 4775: 4773: 4772: 4771: 4770: 4755: 4754: 4753: 4752: 4737: 4735: 4726: 4717: 4713: 4712: 4709: 4708: 4706: 4705: 4699: 4697: 4688: 4684: 4683: 4672: 4671: 4664: 4657: 4649: 4643: 4642: 4636: 4630: 4624: 4611: 4601: 4600: 4597: 4596: 4585: 4573: 4572: 4570: 4566: 4565: 4562: 4561: 4550: 4539: 4524: 4509: 4493: 4488: 4487: 4485: 4484:Classification 4477: 4476:External links 4474: 4471: 4470: 4435: 4384: 4333: 4279: 4254: 4228: 4198: 4140: 4091: 4039: 3990: 3961: 3954: 3929: 3897: 3856: 3820: 3813: 3795: 3788: 3770: 3759: 3739: 3680: 3673: 3655: 3652:. p. 428. 3640: 3633: 3615: 3580: 3539: 3532: 3511: 3462: 3417: 3360: 3325:Blood Research 3311: 3295: 3280: 3262: 3227:(3): 211–221. 3207: 3178:(7): a011866. 3158: 3098: 3055: 3026:(6): 582–609. 3006: 2946: 2939: 2918: 2911: 2872: 2865: 2855:Yeo C (2013). 2847: 2826: 2797: 2772: 2726: 2697: 2668: 2649: 2625: 2568: 2561: 2524: 2498: 2491: 2470: 2446: 2417:(6): 193–199. 2394: 2387: 2352: 2345: 2324: 2317: 2299: 2274:Sleep Medicine 2264: 2233:(3): 293–295. 2213: 2206: 2181: 2174: 2153: 2126: 2119: 2088: 2062: 2013: 2006: 1986: 1961: 1931: 1898: 1865: 1813: 1761: 1714: 1681: 1630: 1600: 1563: 1562: 1560: 1557: 1533: 1531: 500–1000 1527: 1521: 1515: 1509: 1503: 1497: 1491: 1485: 1479: 1473: 1467: 1461: 1460: 1442: 1436: 1430: 1424: 1418: 1412: 1406: 1400: 1394: 1388: 1382: 1381: 1373: 1370: 1330:, marketed as 1284:erythropoietin 1276:erythropoietin 1256:celiac disease 1225:longer release 1179: 1176: 1154: 1151: 1081:thrombocytosis 1073:poikilocytosis 1020: 1019: 1006: 1002: 1001: 984: 980: 979: 976: 966: 963: 922: 919: 837: 834: 825: 822: 821: 820: 817: 814: 811: 808: 805: 802: 799: 796: 784: 781: 769:hemoglobinuria 759: 758:Pregnant women 756: 722:celiac disease 706: 703: 671: 668: 650: 649:Blood donation 647: 623:anticoagulants 613:), as well as 586: 583: 570: 567: 555:angiodysplasia 542: 539: 489: 486: 467: 464: 446: 443: 441: 440: 435: 429: 415: 410: 404: 398: 392: 385: 383:Breathlessness 380: 374: 368: 362: 314: 311: 267:gastric bypass 263:celiac disease 247:stomach ulcers 175: 174: 171: 167: 166: 163: 159: 158: 145: 139: 138: 135: 131: 130: 125: 119: 118: 113: 109: 108: 98: 92: 91: 78: 72: 71: 66: 60: 59: 53: 52: 44: 43: 33: 29: 28: 20: 15: 9: 6: 4: 3: 2: 5212: 5201: 5198: 5196: 5193: 5191: 5188: 5187: 5185: 5166: 5163: 5161: 5158: 5156: 5153: 5151: 5148: 5147: 5145: 5141: 5129: 5126: 5124: 5121: 5120: 5119: 5118: 5114: 5110: 5107: 5105: 5102: 5100: 5097: 5096: 5095: 5094: 5090: 5089: 5087: 5085: 5081: 5075: 5074:Myelophthisic 5072: 5070: 5067: 5065: 5061: 5060: 5058: 5055: 5053: 5049: 5046: 5044: 5041: 5036: 5032: 5022: 5019: 5018: 5015: 5012: 5010: 5007: 5006: 5001: 4998: 4997: 4996: 4993: 4991: 4988: 4987: 4982: 4979: 4978: 4977: 4976: 4972: 4971: 4962: 4959: 4955: 4952: 4951: 4950: 4947: 4945: 4942: 4940: 4937: 4936: 4934: 4932: 4928: 4925: 4923: 4919: 4913: 4910: 4906: 4903: 4902: 4901: 4898: 4894: 4891: 4890: 4889: 4886: 4884: 4880: 4878: 4875: 4873: 4869: 4866: 4862: 4859: 4857: 4854: 4852: 4849: 4848: 4847: 4844: 4842: 4838: 4837: 4832: 4829: 4827: 4824: 4822: 4819: 4818: 4817: 4816: 4812: 4810: 4807: 4805: 4801: 4800: 4798: 4796: 4792: 4789: 4786: 4781: 4777: 4769: 4766: 4765: 4764: 4760: 4757: 4756: 4751: 4748: 4747: 4746: 4742: 4739: 4738: 4736: 4734: 4730: 4727: 4725: 4721: 4718: 4714: 4704: 4701: 4700: 4698: 4696: 4692: 4689: 4685: 4681: 4677: 4670: 4665: 4663: 4658: 4656: 4651: 4650: 4647: 4640: 4637: 4634: 4631: 4629: 4625: 4622: 4618: 4615: 4612: 4609: 4606: 4605: 4595: 4591: 4590: 4586: 4584: 4580: 4579: 4575: 4574: 4571: 4567: 4560: 4556: 4555: 4551: 4549: 4545: 4544: 4540: 4538: 4534: 4533: 4529: 4525: 4523: 4519: 4518: 4514: 4510: 4508: 4504: 4503: 4499: 4495: 4494: 4491: 4486: 4482: 4466: 4462: 4458: 4454: 4450: 4446: 4439: 4431: 4427: 4423: 4419: 4415: 4411: 4407: 4403: 4400:(1): 125–36. 4399: 4395: 4388: 4380: 4376: 4371: 4366: 4361: 4356: 4352: 4348: 4344: 4337: 4329: 4325: 4320: 4315: 4311: 4307: 4303: 4299: 4295: 4288: 4286: 4284: 4275: 4271: 4264: 4258: 4242: 4238: 4232: 4216: 4214: 4208: 4202: 4194: 4190: 4185: 4180: 4176: 4172: 4168: 4164: 4160: 4156: 4149: 4147: 4145: 4136: 4132: 4127: 4122: 4118: 4114: 4110: 4106: 4102: 4095: 4087: 4083: 4078: 4073: 4069: 4065: 4061: 4057: 4053: 4046: 4044: 4035: 4031: 4026: 4021: 4017: 4013: 4009: 4005: 4001: 3994: 3980:on 2017-12-07 3979: 3975: 3971: 3965: 3957: 3951: 3947: 3940: 3938: 3936: 3934: 3926: 3920: 3918: 3916: 3914: 3912: 3910: 3908: 3906: 3904: 3902: 3893: 3889: 3884: 3879: 3876:(4): 746–52. 3875: 3871: 3867: 3860: 3852: 3848: 3844: 3840: 3837:(7): 529–36. 3836: 3832: 3824: 3816: 3810: 3806: 3799: 3791: 3785: 3781: 3774: 3766: 3762: 3756: 3752: 3751: 3743: 3735: 3731: 3726: 3721: 3717: 3713: 3708: 3703: 3699: 3695: 3691: 3684: 3676: 3670: 3666: 3659: 3651: 3644: 3636: 3630: 3626: 3619: 3611: 3607: 3603: 3599: 3596:(10): 966–7. 3595: 3591: 3584: 3576: 3572: 3567: 3562: 3558: 3554: 3550: 3543: 3535: 3529: 3525: 3518: 3516: 3507: 3503: 3498: 3493: 3489: 3485: 3482:(7): 455–61. 3481: 3477: 3473: 3466: 3458: 3454: 3450: 3445: 3440: 3436: 3432: 3428: 3421: 3413: 3409: 3404: 3399: 3395: 3391: 3387: 3383: 3379: 3375: 3371: 3364: 3356: 3352: 3347: 3342: 3338: 3334: 3330: 3326: 3322: 3315: 3306: 3304: 3302: 3300: 3291: 3287: 3283: 3277: 3273: 3266: 3258: 3254: 3250: 3246: 3242: 3238: 3234: 3230: 3226: 3222: 3218: 3211: 3203: 3199: 3194: 3189: 3185: 3181: 3177: 3173: 3169: 3162: 3154: 3150: 3145: 3140: 3136: 3132: 3128: 3124: 3120: 3113: 3111: 3109: 3107: 3105: 3103: 3094: 3090: 3086: 3082: 3078: 3074: 3070: 3066: 3059: 3051: 3047: 3043: 3039: 3034: 3029: 3025: 3021: 3017: 3010: 3002: 2998: 2994: 2990: 2986: 2982: 2978: 2974: 2967: 2965: 2963: 2961: 2959: 2957: 2955: 2953: 2951: 2942: 2936: 2932: 2925: 2923: 2914: 2908: 2904: 2899: 2898: 2889: 2887: 2885: 2883: 2881: 2879: 2877: 2868: 2862: 2858: 2851: 2843: 2836: 2830: 2816:on 2017-09-09 2812: 2808: 2804: 2800: 2794: 2790: 2783: 2776: 2768: 2764: 2760: 2756: 2752: 2748: 2744: 2740: 2733: 2731: 2714: 2710: 2704: 2702: 2685: 2681: 2675: 2673: 2663: 2662: 2653: 2639: 2635: 2629: 2621: 2617: 2612: 2607: 2603: 2599: 2595: 2591: 2587: 2583: 2579: 2572: 2564: 2558: 2554: 2550: 2543: 2541: 2539: 2537: 2535: 2533: 2531: 2529: 2512: 2508: 2502: 2494: 2488: 2484: 2477: 2475: 2466: 2459: 2457: 2455: 2453: 2451: 2442: 2438: 2433: 2428: 2424: 2420: 2416: 2412: 2408: 2401: 2399: 2390: 2384: 2380: 2373: 2371: 2369: 2367: 2365: 2363: 2361: 2359: 2357: 2348: 2342: 2338: 2331: 2329: 2320: 2314: 2310: 2303: 2295: 2291: 2287: 2283: 2280:(3): 247–51. 2279: 2275: 2268: 2260: 2256: 2251: 2246: 2241: 2236: 2232: 2228: 2224: 2217: 2209: 2203: 2199: 2192: 2190: 2188: 2186: 2177: 2171: 2167: 2160: 2158: 2143: 2139: 2133: 2131: 2122: 2116: 2112: 2105: 2103: 2101: 2099: 2097: 2095: 2093: 2084: 2077: 2075: 2073: 2071: 2069: 2067: 2058: 2054: 2049: 2044: 2040: 2036: 2032: 2028: 2024: 2017: 2009: 2003: 1999: 1998: 1990: 1975: 1971: 1965: 1949: 1945: 1941: 1935: 1919: 1915: 1913: 1908: 1902: 1886: 1882: 1878: 1872: 1870: 1861: 1857: 1852: 1847: 1843: 1839: 1835: 1831: 1827: 1820: 1818: 1809: 1805: 1800: 1795: 1791: 1787: 1783: 1779: 1775: 1768: 1766: 1749: 1745: 1741: 1735: 1733: 1731: 1729: 1727: 1725: 1723: 1721: 1719: 1702: 1698: 1694: 1688: 1686: 1669: 1665: 1661: 1655: 1653: 1651: 1649: 1647: 1645: 1643: 1641: 1639: 1637: 1635: 1618: 1614: 1610: 1604: 1596: 1592: 1588: 1584: 1577: 1575: 1573: 1571: 1569: 1564: 1556: 1552: 1549: 1545: 1525: 450–500 1519: 400–450 1513: 350–400 1507: 300–350 1501: 250–300 1495: 200–250 1489: 150–200 1483: 100–150 1465: No data 1458: 1454: 1386: No data 1378: 1369: 1367: 1363: 1361: 1357: 1353: 1349: 1345: 1340: 1337: 1333: 1329: 1328:Ferric maltol 1325: 1323: 1319: 1315: 1311: 1306: 1304: 1299: 1295: 1291: 1287: 1285: 1281: 1277: 1273: 1267: 1265: 1261: 1257: 1251: 1249: 1245: 1241: 1236: 1234: 1230: 1226: 1222: 1217: 1215: 1214:ascorbic acid 1211: 1210:ascorbic acid 1206: 1204: 1196:Ascorbic acid 1194: 1189: 1185: 1175: 1173: 1169: 1165: 1161: 1150: 1148: 1144: 1140: 1135: 1131: 1129: 1124: 1120: 1116: 1112: 1108: 1104: 1101:level, serum 1100: 1096: 1093: 1088: 1086: 1082: 1078: 1074: 1070: 1065: 1063: 1059: 1055: 1051: 1047: 1042: 1040: 1036: 1031: 1027: 1018: 1014: 1010: 1007: 1004: 1003: 1000: 996: 992: 988: 985: 982: 981: 977: 974: 973: 962: 958: 956: 952: 948: 944: 940: 936: 927: 918: 916: 911: 907: 902: 900: 896: 892: 888: 884: 880: 876: 872: 870: 865: 861: 859: 855: 851: 847: 843: 833: 831: 818: 815: 812: 809: 806: 803: 800: 797: 794: 793: 792: 789: 780: 776: 772: 770: 766: 755: 753: 749: 745: 743: 739: 735: 731: 727: 723: 718: 716: 715:malabsorption 712: 702: 699: 694: 689: 686: 676: 667: 665: 661: 656: 646: 644: 640: 636: 632: 628: 624: 620: 616: 615:antiplatelets 612: 608: 604: 600: 596: 592: 582: 580: 576: 566: 564: 560: 556: 552: 547: 538: 536: 533: 529: 525: 521: 520: 515: 514: 509: 508: 503: 499: 498:helminthiasis 495: 485: 482: 478: 474: 463: 461: 457: 453: 439: 436: 433: 430: 427: 423: 419: 416: 414: 413:Poor appetite 411: 408: 405: 402: 399: 396: 393: 390: 386: 384: 381: 378: 375: 372: 369: 367: 364: 363: 357: 353: 350: 348: 344: 339: 337: 333: 329: 328:feeling tired 325: 324:oxyhemoglobin 321: 310: 306: 304: 300: 296: 290: 288: 284: 280: 276: 272: 268: 264: 260: 256: 252: 248: 244: 240: 236: 232: 228: 223: 221: 217: 213: 209: 205: 204:feeling tired 201: 197: 193: 189: 185: 181: 173:54,200 (2015) 172: 168: 164: 160: 157: 153: 149: 146: 144: 140: 136: 132: 129: 126: 124: 120: 117: 114: 110: 106: 102: 101:Heart failure 99: 97: 96:Complications 93: 90: 87:, confusion, 86: 82: 81:Feeling tired 79: 77: 73: 70: 67: 65: 61: 58: 54: 50: 45: 41: 39: 34: 30: 25: 19: 5123:normochromic 5115: 5091: 4973: 4881: 4839: 4813: 4802: 4744: 4695:Polycythemia 4587: 4576: 4552: 4541: 4526: 4511: 4496: 4455:(5): 671–8. 4452: 4448: 4438: 4397: 4393: 4387: 4350: 4346: 4336: 4301: 4297: 4269: 4257: 4245:. Retrieved 4240: 4231: 4219:. Retrieved 4217:. 7 May 2020 4210: 4201: 4166: 4162: 4108: 4104: 4094: 4059: 4055: 4010:(1): 57–66. 4007: 4003: 3993: 3982:. Retrieved 3978:the original 3973: 3964: 3945: 3924: 3873: 3869: 3859: 3834: 3830: 3823: 3804: 3798: 3779: 3773: 3765:the original 3749: 3742: 3700:(24): 7377. 3697: 3693: 3683: 3664: 3658: 3649: 3643: 3624: 3618: 3593: 3589: 3583: 3559:(4): 580–5. 3556: 3552: 3542: 3523: 3479: 3475: 3465: 3437:(8): 884–6. 3434: 3430: 3420: 3380:(1): 15–31. 3377: 3373: 3363: 3328: 3324: 3314: 3271: 3265: 3224: 3220: 3210: 3175: 3171: 3161: 3129:(2): 146–9. 3126: 3122: 3068: 3064: 3058: 3023: 3019: 3009: 2976: 2972: 2930: 2896: 2856: 2850: 2841: 2829: 2818:. Retrieved 2811:the original 2788: 2775: 2742: 2738: 2719:December 11, 2717:. Retrieved 2688:. Retrieved 2683: 2660: 2652: 2641:. Retrieved 2637: 2628: 2585: 2581: 2571: 2552: 2515:. Retrieved 2501: 2482: 2464: 2414: 2410: 2378: 2336: 2308: 2302: 2277: 2273: 2267: 2230: 2226: 2216: 2197: 2165: 2145:. Retrieved 2141: 2110: 2082: 2030: 2026: 2016: 1997:The Vitamins 1996: 1989: 1977:. Retrieved 1973: 1964: 1952:. Retrieved 1943: 1934: 1922:. Retrieved 1910: 1901: 1889:. Retrieved 1880: 1833: 1829: 1781: 1777: 1752:. Retrieved 1743: 1705:. Retrieved 1696: 1672:. Retrieved 1663: 1621:. Retrieved 1612: 1603: 1586: 1582: 1553: 1550: 1546: 1542: 1477: 50–100 1446: 75-381 1372:Epidemiology 1364: 1341: 1335: 1331: 1326: 1322:iron sucrose 1307: 1298:formulations 1288: 1268: 1252: 1244:constipation 1237: 1218: 1207: 1199: 1156: 1136: 1132: 1089: 1077:anisocytosis 1066: 1043: 1023: 959: 947:colon cancer 932: 903: 873: 862: 839: 827: 790: 786: 777: 773: 761: 746: 734:achlorhydria 719: 708: 690: 681: 652: 635:Colon cancer 588: 572: 563:colon cancer 551:peptic ulcer 544: 517: 511: 505: 491: 469: 448: 377:Palpitations 373:(chest pain) 366:Irritability 351: 340: 316: 307: 291: 251:colon cancer 224: 188:lack of iron 186:caused by a 179: 178: 83:, weakness, 36: 18: 5128:hypochromic 5084:Blood tests 4846:Thalassemia 4804:enzymopathy 4733:Nutritional 4578:MedlinePlus 4353:(11): 693. 4247:16 February 3331:(1): 10–5. 2745:(1): 22–8. 2690:12 December 2638:Mayo Clinic 1979:11 December 1440: 31–74 1434: 20–30 1428: 13–19 1294:anaphylaxis 1278:or another 1103:transferrin 1069:hypochromic 1013:transferrin 965:Blood tests 955:colonoscopy 895:bone marrow 891:transferrin 869:ferroportin 846:bone marrow 655:whole blood 619:clopidogrel 575:menorrhagia 496:known as a 407:Koilonychia 287:blood tests 128:Blood tests 105:arrhythmias 32:Other names 5184:Categories 5109:macrocytic 5104:microcytic 5099:normocytic 5062:Acquired: 5048:Hereditary 4815:glycolysis 4795:Hereditary 4554:DiseasesDB 4155:Webster AC 3984:2017-12-06 3870:Pediatrics 2820:2018-12-07 2643:2018-12-13 2517:2014-03-05 2147:2021-12-02 1559:References 1422: 9–12 1356:hemoglobin 1182:See also: 1174:lab test. 1172:hematocrit 1168:hemoglobin 1111:Serum iron 1099:serum iron 1030:hematocrit 1026:hemoglobin 991:hemoglobin 978:Parameter 915:hemoglobin 883:hemoglobin 541:Blood loss 387:Tingling, 347:pagophagia 239:childbirth 227:blood loss 196:hemoglobin 143:Medication 69:Hematology 4780:Hemolytic 4589:eMedicine 4347:Nutrients 4221:13 August 3716:2077-0383 3290:952123506 3257:220976197 3241:1753-0407 2602:1469-493X 1416: 6–8 1410: 4–5 1404: 2–3 1348:oral iron 1336:Ferracru, 1264:H. pylori 1178:Treatment 1153:Screening 921:Diagnosis 836:Mechanism 765:hemolysis 738:H. pylori 660:platelets 595:esophagus 502:helminths 418:Dysphagia 395:Glossitis 322:(reduced 299:vitamin C 269:. In the 212:confusion 162:Frequency 152:vitamin C 134:Treatment 64:Specialty 5038:(mostly 5035:Aplastic 4975:membrane 4922:Acquired 4883:membrane 4783:(mostly 4676:Diseases 4617:Archived 4594:med/1188 4465:Archived 4461:17375513 4422:10818399 4379:27827838 4328:23245607 4274:Archived 4272:. 2002. 4241:DailyMed 4193:30790278 4135:33471939 4086:33471939 4034:27913463 3892:26347426 3851:26344176 3734:36555993 3610:17943034 3575:19289594 3457:Archived 3412:31008520 3355:23589789 3249:32755052 3202:23613366 3153:25719576 3093:31142805 3085:18297894 3050:41444849 3042:25078533 3001:17628280 2993:25946282 2807:25057538 2767:23683533 2759:25227596 2713:Archived 2620:30699468 2511:Archived 2441:27990046 2294:17368978 2259:31149574 2057:25530442 1948:Archived 1918:Archived 1885:Archived 1860:27733281 1808:27733282 1748:Archived 1701:Archived 1668:Archived 1617:Archived 1595:24716235 1360:ferritin 1332:Accrufer 1272:dialysis 1095:ferritin 987:ferritin 906:ferritin 864:Hepcidin 854:ferritin 830:hepcidin 824:Hepcidin 783:Children 711:duodenum 627:warfarin 625:such as 617:such as 389:numbness 283:HIV/AIDS 206:, weak, 76:Symptoms 4548:D018798 4430:6740558 4402:Bibcode 4370:5133080 4319:6350784 4184:6384096 4126:8092475 4077:8092475 4025:6142502 3725:9786287 3506:9686711 3497:1496985 3444:1819106 3403:6697587 3382:Bibcode 3346:3624997 3193:3685880 3144:4375689 2844:. 2017. 2611:6360921 2432:5155066 2250:6536080 2048:4340604 1954:17 July 1924:17 July 1891:17 July 1851:5388903 1799:5055577 1754:17 July 1707:17 July 1674:17 July 1623:17 July 1398: 1 1392: 0 1227:in the 975:Change 713:. Iron 611:aspirin 460:neurons 452:neurons 279:malaria 235:periods 198:in the 5040:normo- 4785:normo- 4759:Macro- 4741:Micro- 4724:Anemia 4583:000584 4459:  4428:  4420:  4377:  4367:  4326:  4316:  4298:Lancet 4191:  4181:  4133:  4123:  4084:  4074:  4032:  4022:  3952:  3890:  3849:  3811:  3786:  3757:  3732:  3722:  3714:  3671:  3631:  3608:  3573:  3530:  3504:  3494:  3453:737638 3451:  3441:  3410:  3400:  3353:  3343:  3288:  3278:  3255:  3247:  3239:  3200:  3190:  3151:  3141:  3091:  3083:  3048:  3040:  2999:  2991:  2937:  2909:  2905:–195. 2863:  2805:  2795:  2782:"Iron" 2765:  2757:  2618:  2608:  2600:  2559:  2489:  2439:  2429:  2385:  2343:  2315:  2292:  2257:  2247:  2204:  2172:  2117:  2055:  2045:  2027:Lancet 2004:  1970:"Iron" 1858:  1848:  1830:Lancet 1806:  1796:  1778:Lancet 1593:  1535:  1529:  1523:  1517:  1511:  1505:  1499:  1493:  1487:  1481:  1475:  1469:  1463:  1444:  1438:  1432:  1426:  1420:  1414:  1408:  1402:  1396:  1390:  1384:  1128:anemia 1105:, and 1044:A low 609:(e.g. 535:mucosa 522:. The 516:, and 477:cancer 371:Angina 320:pallor 281:, and 253:, and 184:anemia 170:Deaths 112:Causes 89:pallor 5143:Other 4872:trait 4861:delta 4851:alpha 4426:S2CID 4266:(xls) 4215:(FDA) 4211:U.S. 3253:S2CID 3089:S2CID 3046:S2CID 2997:S2CID 2838:(PDF) 2814:(PDF) 2785:(PDF) 2763:S2CID 2142:WebMD 1944:NHLBI 1914:(WHO) 1881:NHLBI 1744:NHLBI 1697:NHLBI 1613:NHLBI 1346:with 1262:, or 1092:serum 858:human 850:liver 603:colon 466:Cause 200:blood 4931:AIHA 4856:beta 4559:6947 4543:MeSH 4532:9-CM 4507:3A00 4457:PMID 4418:PMID 4375:PMID 4324:PMID 4249:2020 4223:2020 4189:PMID 4167:2019 4131:PMID 4082:PMID 4030:PMID 4008:2016 3950:ISBN 3888:PMID 3847:PMID 3809:ISBN 3784:ISBN 3755:ISBN 3730:PMID 3712:ISSN 3669:ISBN 3629:ISBN 3606:PMID 3571:PMID 3528:ISBN 3502:PMID 3449:PMID 3408:PMID 3378:1450 3351:PMID 3286:OCLC 3276:ISBN 3245:PMID 3237:ISSN 3198:PMID 3149:PMID 3081:PMID 3038:PMID 2989:PMID 2935:ISBN 2907:ISBN 2861:ISBN 2803:PMID 2793:ISBN 2755:PMID 2721:2012 2692:2018 2616:PMID 2598:ISSN 2557:ISBN 2487:ISBN 2437:PMID 2383:ISBN 2341:ISBN 2313:ISBN 2290:PMID 2255:PMID 2202:ISBN 2170:ISBN 2115:ISBN 2053:PMID 2002:ISBN 1981:2018 1956:2017 1926:2017 1893:2017 1856:PMID 1804:PMID 1756:2017 1709:2017 1676:2017 1625:2017 1591:PMID 1334:and 1186:and 1145:. A 1121:(or 953:and 875:Iron 848:and 767:and 691:The 670:Diet 641:and 621:and 579:IUDs 343:Pica 220:pale 40:DA, 4678:of 4537:280 4528:ICD 4522:D50 4513:ICD 4498:ICD 4410:doi 4398:900 4365:PMC 4355:doi 4314:PMC 4306:doi 4302:380 4179:PMC 4171:doi 4121:PMC 4113:doi 4072:PMC 4064:doi 4020:PMC 4012:doi 3878:doi 3874:136 3839:doi 3835:163 3720:PMC 3702:doi 3598:doi 3594:100 3561:doi 3557:131 3492:PMC 3484:doi 3439:PMC 3435:119 3398:PMC 3390:doi 3341:PMC 3333:doi 3229:doi 3188:PMC 3180:doi 3139:PMC 3131:doi 3073:doi 3028:doi 2981:doi 2977:372 2903:173 2747:doi 2606:PMC 2590:doi 2427:PMC 2419:doi 2282:doi 2245:PMC 2235:doi 2043:PMC 2035:doi 2031:385 1846:PMC 1838:doi 1834:388 1794:PMC 1786:doi 1782:388 1170:or 1052:or 720:In 662:or 338:. 261:or 182:is 5186:: 5050:: 4761:: 4743:: 4592:: 4581:: 4557:: 4546:: 4535:: 4520:: 4517:10 4505:: 4502:11 4463:. 4453:75 4451:. 4447:. 4424:. 4416:. 4408:. 4396:. 4373:. 4363:. 4349:. 4345:. 4322:. 4312:. 4300:. 4296:. 4282:^ 4268:. 4239:. 4209:. 4187:. 4177:. 4165:. 4161:. 4143:^ 4129:. 4119:. 4107:. 4103:. 4080:. 4070:. 4058:. 4054:. 4042:^ 4028:. 4018:. 4006:. 4002:. 3972:. 3932:^ 3900:^ 3886:. 3872:. 3868:. 3845:. 3833:. 3728:. 3718:. 3710:. 3698:11 3696:. 3692:. 3604:. 3592:. 3569:. 3555:. 3551:. 3514:^ 3500:. 3490:. 3480:13 3478:. 3474:. 3455:. 3447:. 3433:. 3429:. 3406:. 3396:. 3388:. 3376:. 3372:. 3349:. 3339:. 3329:48 3327:. 3323:. 3298:^ 3284:. 3251:. 3243:. 3235:. 3225:13 3223:. 3219:. 3196:. 3186:. 3174:. 3170:. 3147:. 3137:. 3127:36 3125:. 3121:. 3101:^ 3087:. 3079:. 3069:28 3067:. 3044:. 3036:. 3024:40 3022:. 3018:. 2995:. 2987:. 2975:. 2949:^ 2921:^ 2875:^ 2840:. 2801:. 2787:. 2761:. 2753:. 2743:65 2741:. 2729:^ 2700:^ 2682:. 2671:^ 2636:. 2614:. 2604:. 2596:. 2584:. 2580:. 2527:^ 2509:. 2473:^ 2449:^ 2435:. 2425:. 2415:39 2413:. 2409:. 2397:^ 2355:^ 2327:^ 2288:. 2276:. 2253:. 2243:. 2231:10 2229:. 2225:. 2184:^ 2156:^ 2140:. 2129:^ 2091:^ 2065:^ 2051:. 2041:. 2029:. 2025:. 1972:. 1942:. 1916:. 1909:. 1879:. 1868:^ 1854:. 1844:. 1832:. 1828:. 1816:^ 1802:. 1792:. 1780:. 1776:. 1764:^ 1742:. 1717:^ 1695:. 1684:^ 1662:. 1633:^ 1611:. 1587:15 1585:. 1567:^ 1258:, 1205:. 1130:. 1097:, 1041:. 1015:, 1011:, 1005:↑ 997:, 993:, 989:, 983:↓ 666:. 633:. 597:, 557:, 553:, 510:, 289:. 277:, 273:, 249:, 245:, 241:, 237:, 214:, 154:, 150:, 103:, 38:Fe 5042:) 4885:: 4870:/ 4843:: 4806:: 4787:) 4716:↓ 4687:↑ 4668:e 4661:t 4654:v 4530:- 4515:- 4500:- 4490:D 4432:. 4412:: 4404:: 4381:. 4357:: 4351:8 4330:. 4308:: 4251:. 4225:. 4195:. 4173:: 4137:. 4115:: 4109:1 4088:. 4066:: 4060:1 4036:. 4014:: 3987:. 3958:. 3894:. 3880:: 3853:. 3841:: 3817:. 3792:. 3736:. 3704:: 3677:. 3637:. 3612:. 3600:: 3577:. 3563:: 3536:. 3508:. 3486:: 3414:. 3392:: 3384:: 3357:. 3335:: 3292:. 3259:. 3231:: 3204:. 3182:: 3176:3 3155:. 3133:: 3095:. 3075:: 3052:. 3030:: 3003:. 2983:: 2943:. 2915:. 2869:. 2823:. 2769:. 2749:: 2723:. 2694:. 2646:. 2622:. 2592:: 2586:1 2565:. 2520:. 2495:. 2443:. 2421:: 2391:. 2349:. 2321:. 2296:. 2284:: 2278:8 2261:. 2237:: 2210:. 2178:. 2150:. 2123:. 2059:. 2037:: 2010:. 1983:. 1958:. 1928:. 1895:. 1862:. 1840:: 1810:. 1788:: 1758:. 1711:. 1678:. 1627:. 1597:. 428:) 424:(

Index

Fe

Red blood cells
Specialty
Hematology
Symptoms
Feeling tired
shortness of breath
pallor
Complications
Heart failure
arrhythmias
Iron deficiency
Diagnostic method
Blood tests
Medication
Iron supplements
vitamin C
blood transfusions
anemia
lack of iron
red blood cells
hemoglobin
blood
feeling tired
short of breath
confusion
feeling like one is going to pass out
pale
blood loss

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.