Guest guest Posted October 25, 2006 Report Share Posted October 25, 2006 Our Nurse practitioner reviews the labs and then prescribes iron. I don't think it would be helpful for me to make iron recommendations b/c I cannot order the f/u labs to see if the treatment is working. Letendre, RD --- You wrote: HI Group- Are any dietitians using order sets from physicians to prescribe iron for your patients? I have been asked to review labs and based on those, and the acceptable ranges (as determined by the physicians) for iron in patients direct them to take iron. This is not something I have done before and am looking for some feedback-thanks Hickey, RD --- end of quote --- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2006 Report Share Posted October 27, 2006 Carbonyl iron usually works well to build healthy ferritin levels and is gentle on the tummy. Chromagen Forte is an Rx iron preparation that has also worked well for many post-ops, as has ferrous gluconate and polysaccharide iron. Ferrous sulfate is a pouch burner and not as well absorbed. Some RNY post-ops have to combine several forms to get their numbers back up. Checks labs to determine how many mgs per day. Remind patients to take iron with vitamin C and at least 2 hours apart from calcium. Ava Lap RNY 4/21/04 The Ohio State Univ. Medical Ctr. > > Forgive me for asking a question I know has been discussed, but I couldn't find my answer in the archives section. > > I have a patient who is iron deficient >1 year post op. What do you all recommend for these patients (as in type of iron and mg per day)? > > Thanks for your help, > > > > > Negri, RD/LD > UT Southwestern Medical Center > Phone: 214-648-6461 > Fax: 214-648-8476 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 Ava, just curious...what do you mean exactly by "pouch burner?" Amy Long MS, RD Clinical Dietitian Northridge Hospital Medical Center Northridge, CA Amy.Long@... 818-885-8500 x4034 -----Original Message-----From: [mailto: ]On Behalf Of AvaSent: Friday, October 27, 2006 9:34 PM Subject: Re: Iron Supplementation Carbonyl iron usually works well to build healthy ferritin levels and is gentle on the tummy. Chromagen Forte is an Rx iron preparation that has also worked well for many post-ops, as has ferrous gluconate and polysaccharide iron. Ferrous sulfate is a pouch burner and not as well absorbed. Some RNY post-ops have to combine several forms to get their numbers back up. Checks labs to determine how many mgs per day. Remind patients to take iron with vitamin C and at least 2 hours apart from calcium.AvaLap RNY 4/21/04The Ohio State Univ. Medical Ctr.>> Forgive me for asking a question I know has been discussed, but I couldn't find my answer in the archives section.> > I have a patient who is iron deficient >1 year post op. What do you all recommend for these patients (as in type of iron and mg per day)?> > Thanks for your help, > > > > > Negri, RD/LD> UT Southwestern Medical Center> Phone: 214-648-6461> Fax: 214-648-8476> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 Sorry for my slang. I mean that it is a known GI tract irritant (sometimes even for non-WLS pts.) and poorly tolerated, especially in the dosage potentially required by gastric bypass pts. Ava > > > > Forgive me for asking a question I know has been discussed, but I > couldn't find my answer in the archives section. > > > > I have a patient who is iron deficient >1 year post op. What do > you all recommend for these patients (as in type of iron and mg per > day)? > > > > Thanks for your help, > > > > > > > > > > Negri, RD/LD > > UT Southwestern Medical Center > > Phone: 214-648-6461 > > Fax: 214-648-8476 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2007 Report Share Posted December 7, 2007 We use Repliva and seem to have great results. > > We currently have our post-op bypass patients taking Nifferex Forte 150 > daily however noticing we are still having a bunch of our patients > having anemia post-op. Also a lot of insurances are not covering it as > well. What else are people recommending to patients after bypass > surgery. How many mg of elemental iron are you having your patients > take?? > > Any suggestions would be greatly appreciated. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2007 Report Share Posted December 7, 2007 Interesting, we have all our patients taking Niferex Gold, some just do OTC (despite our recommendations) however we RARELY see anemia related to iron. Don't have any suggestions for you, except a cheaper iron. -----Original Message-----From: [mailto: ]On Behalf Of allison_theodoreSent: Friday, December 07, 2007 9:44 AM Subject: Iron Supplementation We currently have our post-op bypass patients taking Nifferex Forte 150 daily however noticing we are still having a bunch of our patients having anemia post-op. Also a lot of insurances are not covering it as well. What else are people recommending to patients after bypass surgery. How many mg of elemental iron are you having your patients take??Any suggestions would be greatly appreciated. IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2008 Report Share Posted October 21, 2008 Hi Everyone I have been taking an iron supplement for about 4 weeks now - 40mg for the first 2 weeks - 6omg for the last 2 weeks. My ferritin level had dropped below range at 21 (30-300). I am due to have a further blood test in about 3weeks. One thing I have noticed already is that I feel a lot warmer, sometimes quite hot. My thyroid meds have stayed the same. Has anyone else experienced this, does it make sense and what is happening? Thanks in advance. Best wishes, Caron X Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2008 Report Share Posted October 21, 2008 The fact that you are feeling warmer is probably because after taking iron supplementation, your body is more able to absorb the thyroid hormone. This is why we say check your ferritin level (amongst other conditions) because this is one condition that can actually be a cause of hypothyroidism. Are you taking a large dose of vitamin C at the same time. Luv - Sheila Hi Everyone I have been taking an iron supplement for about 4 weeks now - 40mg for the first 2 weeks - 6omg for the last 2 weeks. My ferritin level had dropped below range at 21 (30-300). I am due to have a further blood test in about 3weeks. One thing I have noticed already is that I feel a lot warmer, sometimes quite hot. My thyroid meds have stayed the same. Has anyone else experienced this, does it make sense and what is happening? Thanks in advance. Best wishes, Caron X Quote Link to comment Share on other sites More sharing options...
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