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Topics:
Hematology • Benign Hematology • Neurology • Pulmonology • Iron Homeostasis • Sleep Medicine • Psychiatry
At what lab values (ferritin, tsat %) would you offer IV iron therapy to patients with restless leg syndrome?
Does absence of anemia change your management? Is there a preferred formulation for restless leg syndrome? AASM guidelines recommend iron therapy, but note that it has not been empirically tested--do patient symptoms seem to improve after iron therapy?
Answer from: Medical Oncologist at Academic Institution
I am hopeful that practitioners will start understanding that ferritin alone is not enough to assess iron because of its acute phase reactivity. I like to order iron parameters after a 5-9 hour fast so the serum iron is not speciously elevated and get a ferritin and TSAT. If the ferrit...
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