fuz_mind wrote:stjohnh wrote:fuz_mind wrote:
Hmmm, your recent IV was lower dose than recommended. Any chance you can get another 500mg IV asap? You have a better chance of responding.
my doc was concerned that 1000mg was too much and he had told me that he wouldn't give me 500mg on 2 occasions. I'm not sure how much of it is guided by the concern that my ferritin levels is > 100. is there a paper that you would recommend that i can show him?
Figure 5 on page 39 of the IRLSSG Consensus paper https://www.sciencedirect.com/science/article/pii/S1389945717315599?via%3Dihub is the algorithm for IV Iron. The grey box at the bottom is the one for repeat infusions. Basically, yes (at same dose as initial) if Ferritin<300 and TSat%<45%.
Note that your pre-IV iron panel showed levels more compatible with "initial treatment" than with "recurrent" treatment. For example, my recent second set of Injectafer infusions were the result of my recurrent symptoms, with a ferritin of 280. I got the full dose, 2 infusions, 750mg each, a week apart.