Iron

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Iron deficiency
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Cut-points for hemoglobin (Hb
g/100ml) concentrations in blood defining anemia
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Changes with increasing iron deficiency
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Dietary iron availability
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• Assessment
• pale tongue/conjunctiva
• if blood anyway collected, estimate Hb or
  (more readily) hematocrit
• survey use fingerprick blood drop and
  colorimetric method like HemoCue.

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http//www.talcuk.org/index.htm
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• Daily vs weekly iron supplementation.
• Weekly no better then daily but may not be
  less effective (Beaton McCabe, 2000)
• Achieving daily is difficult, unclear if in
  practice weekly will become monthly
• Need anyway to move to multiple
  supplementation
• Thus policy still disputed.

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Multiple supplementation (incl iron) estimated at
lt1/pregnancy