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Updated: Oct 7, 2025

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Measurement of Tissue Non-Heme Iron Content using a Bathophenanthroline-Based Colorimetric Assay
Published on: January 31, 2022
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Non-anaemic iron deficiency.
Shalini Balendran1,2, Cecily Forsyth1,2
1Westmead Hospital, Sydney.
Australian Prescriber
|January 10, 2022
Summary
Iron deficiency without anemia is common and may cause non-specific symptoms. Treatment involves oral iron supplements, with intravenous iron considered for non-responders.
Area of Science:
- Internal Medicine
- Hematology
Background:
- Iron deficiency without anemia is a prevalent condition.
- Patients often exhibit unexplained, non-specific symptoms.
- Diagnosis typically involves low ferritin and transferrin saturation with normal hemoglobin.
Purpose of the Study:
- To summarize the diagnosis and management of iron deficiency without anemia.
- To review the limited evidence on iron supplementation in non-anemic individuals.
- To outline treatment strategies and follow-up protocols.
Main Methods:
- Review of current medical literature on iron deficiency without anemia.
- Analysis of diagnostic criteria and treatment guidelines.
- Evaluation of oral and intravenous iron supplementation efficacy.
Main Results:
- Iron deficiency without anemia is characterized by specific iron study findings.
- Oral iron supplements are the primary treatment, with follow-up iron studies recommended.
- Intravenous iron may benefit non-responders, while intramuscular iron is not indicated.
Conclusions:
- Prompt identification and management of iron deficiency without anemia are crucial.
- Treatment strategies should be individualized based on patient response.
- Further research is needed to clarify the benefits of iron supplementation in this population.
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