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diagnosis algorithm aafp cobalamin fatigue folate folicacid gastroenterology gastrointestinal homocysteine ibd iron macrocytic macrocytosis nutrition vitamin vitaminb12
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
Algorithm for the evaluation ... red blood cell; MMA ... the most likely cause ... recovery also causes ... deficiency.
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Gastrointestinal Evaluation ... tests Test for celiac ... disease with serology ... change medical management ... #Evaluation #workup
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... related to IBD, celiac ... disease, other ... - Elevated MMA ... #diagnosis #management
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
(B12, MMA) for ... restricted diet/deficiency ... fatigue despite disease ... /other causes • ... Algorithm #diagnosis #management
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