I have 7 patients in my dialysis center with an Hb of more than 12 mg/dl and persistently low Iron, TIBC and Ferritin levels. Since last year these patients are not on Erythropoetin and Iron Therapy but still have normal Hb level. With three patients, we gave Iron in loading doses but there was no improvement in iron status.
What are the possible causes of normal a Hb while having very low Iron, TIBC and Ferritin levels? Should we treat for iron deficiency or not?
In Hemodialysis
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Accepted Answer
Dear Muhammad,We have posted your question on twitter and it has gotten some good answers:
Great new question about iron metabolism in ESRD patients https://t.co/KzWyaU50BZ Share your thoughts @edgarvlermamd @BasuNephro @tvachh
The ISN (@ISNkidneycare) February 17, 2016
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