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diagnosis algorithm management aafp cobalamin folate folicacid hematology homocysteine ibd macrocytosis mds myelodysplasia myelodysplastic oncology syndromes vitamin vitaminb12
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
evaluation of macrocytic ... red blood cell; MMA ... serum level for all ... of the initial work-up ... deficiency.
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
despite clinical ... Crohn's > UC Anemia ... & Fe Sucrose > alt ... (B12, MMA) for ... restricted diet/deficiency
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... : • Worsening macrocytic ... slowing, neuropathy, fatigue ... - Elevated MMA ... diagnosis #management #nutrition
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
formed or don’t work ... Symptoms: • Fatigue ... common cytopenia: Macrocytic ... Platelet Disorders • Nutritional ... : vitamin B12 or
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