Mr Toby Richards is a Professor of Surgery at University College London. He has pioneered anaemia management and intravenous iron therapy in the UK. His underlying belief is that optimising patient’s health and fitness before surgery will improve their recovery and benefit their outcomes. He has embedded clinical research and development into all areas of practice.
What is included in an Iron Consultation? Identify symptoms of iron deficiency Discussion on recent blood results from the last 8 weeks and how those apply to the symptom experience Identify the cause of the iron deficiency and suggest ways to limit the cause from reoccurring Explain the mechanism of iron deficiency and…
Your body normally has big reserve stores of iron (3000 – 4000mg in total). If #irondeficiency you are probably functioning on 30-50% of your iron stores, so you will be down by about 1000mg – 2000mg. To put this in perspective, your body has several years of iron in reserve you only need 1-2mg…
Iron is only absorbed by cells in the gut that grab iron and actively transport it. The cells preferentially absorb haem iron which comes mostly from red blood cells in meat. Plant based iron must be converted into haem iron for it to be absorbed and this process requires vitamin C. The best source…
#Anaemia is a top 10 disability in the world as defined by WHO It affects 10-15% of people in the high income countries It affects 40% of people in low income countries The commonest cause is #IronDeficiency, this is due to poor diet, or in #women due to the blood loss from the #menstrual cycle.…
Pregnancy related blood loss Women at higher risk of developing iron deficiency through #pregnancy and #labour are: #miscarriage followed by quick subsequent pregnancy #antepartum or #postpartum #haemorrhage 2 pregnancies within 3 years 3 pregnancies within 5 years The #brainfog, #hairloss and #lowmood can all be signs of iron deficiency.
You have 3000-4000mg in the body and only need to absorb 4-10mg a day. It can take 3-7 years to develop #irondeficiency. Iron deficiency is indicated by #Ferritin < 16 and transferrin saturations < 18% – when this low you can become #anaemic Hb<13 with small red cells MCV<80. At this point the body is…
True anaphylaxis used to happen with the older iron dextrans from the 1960’s/1970’s. These products are no longer used. However, there is a huge hangover and fear confusing everyone (doctors and patients). With new preparations reactions are rare, but as with any treatment there are: Anxiety Patients with iron deficiency are anxious. This is part…
Professor Toby Richards features in the film and is a vascular surgeon for The Iron Clinic. London Live – Living with Heart Disease
First step in treating #iron deficiency #anemia is a good well balanced diet – rich in #iron Meat is rich in (haem) iron that is easily absorbed (10%). Plant iron (particularly leafy veg) has iron but it is not well absorbed at all (only about 1%) The best options are soya, cereals, pulses or lentils.…
Many women are treated for depression before they are found to have #irondeficiency #anaemia . #Iron is an important nutrient for keeping you healthy. Iron is needed to carry oxygen in your blood around your body, to give you energy and help you concentrate. Low iron levels can lead to #Irondeficiency which puts you at…