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Anemia in CKD, Part 2: Is Iron Always the First-Line Intervention?
When hemoglobin and TSAT are low, iron is often the first thing we recommend. But in CKD, is it the right first step?
In Part 2 of this conversation, Jessianna Saville and Lindsey Zirker of the Kidney Nutrition Institute walk through the labs that help identify the type of anemia, including MCV, ferritin, TSAT, TIBC, and reticulocytes. They also explain how to think through functional iron deficiency versus anemia of chronic disease. They cover additional markers worth considering, such as B12, MMA, folate, carnitine and zinc, and how long-term restrictive diets can leave patients short on…
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