[Dr.Vad]

еще одна публикация в полной версии от техасских специалистов о коррекции жд или жда у подростков, включая когда можно назначать в/в железо без пробного назначения железа внутрь:

Although oral iron supplementation remains the mainstay of therapy for most adolescents with ID, in those who have an incomplete response (persistent ID), intravenous (IV) iron therapy is increasingly being used. The benefits of IV iron include the rapid repletion of iron stores in addition to the resolution of anemia, fewer gastrointestinal side effects, and relief for individuals struggling with long-term iron supplementation. Indications for IV iron as upfront therapy – without a trial of oral iron – are limited to adolescents with severe anemia and/or chronic conditions [77].

Nutritional Strategies for Managing Iron Deficiency in Adolescents: Approaches to a Challenging but Common Problem
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