Multifaceted approach to improve iron utilization： Case of a home hemodialysis patient unable to take iron orally

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Key Points

This study aims to address iron deficiency anemia management in hemodialysis patients who cannot tolerate oral iron supplements.
Managed secondary hyperparathyroidism and performed acetate-free dialysis to suppress hepcidin.
Monitored treatment for 5 months to evaluate TSAT levels before starting low-dose intravenous iron.
Applied a multifaceted approach combining metabolic environment adjustments and minimal iron administration.
After 5 months, transferrin saturation (TSAT) levels significantly increased.
Initiated low-dose intravenous iron at month 9, leading to stable hemoglobin (Hb) within the normal range.
Demonstrated the effectiveness of a non-iron intervention in improving iron utilization.

Explores improved iron management in a home hemodialysis patient, suggesting effective treatment strategies.

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Kiyosumi et al. (2026) studied this question.

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