The Curbsiders Internal Medicine Podcast #471 Iron Deficiency Anemia with Dr. Tom DeLoughery
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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.
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Ferritin Cutoff
- Standard ferritin ranges are often too low, especially for women.
- Consider a cutoff of 30, or even 50, for better sensitivity, particularly for fatigue.
Higher Ferritin Targets
- Aim for ferritin above 75-100 in restless leg syndrome.
- Consider ferritin of 100 or more for alopecia, even if current levels are between 30 and 100.
Iron Absorption
- Heme iron from meat is absorbed better than non-heme iron from plants.
- Meat protein also enhances iron absorption, so take iron supplements with meat.