In this episode, Dr. Michael Auerbach, a renowned hematologist and oncologist, discusses his extensive experience with intravenous iron therapy, debunking myths about its dangers and highlighting its efficacy. He shares insights on the importance of iron in pregnancy, the challenges of iron deficiency, and the need for updated guidelines in obstetrics. Dr. Auerbach also emphasizes the significance of proper iron supplementation and the impact of iron deficiency on global health.

Takeaways

• Intravenous iron therapy is safe and effective, debunking myths of its dangers.
• Iron deficiency is a top global health issue, affecting over 3 billion people.
• Proper iron supplementation is crucial, especially in pregnancy, to prevent developmental issues.
• Dr. Auerbach has pioneered studies in iron therapy for various conditions, including pregnancy and chemotherapy-induced anemia.
• Iron deficiency is often overlooked in obstetrics, with many women undiagnosed due to outdated guidelines.
• The American College of Obstetrics and Gynecology has yet to adopt international guidelines for iron deficiency screening.
• Oral iron supplements can be ineffective and even harmful in certain conditions like inflammatory bowel disease.
• Dr. Auerbach advocates for universal iron screening and intravenous iron therapy for iron-deficient women.
• Iron deficiency can lead to significant health issues, including fatigue, postpartum depression, and developmental delays in children.
• Updated guidelines and awareness are needed to address iron deficiency effectively.

Sound Bites

• Intravenous iron is safe and effective.
• Iron deficiency affects over 3 billion people.
• Proper iron supplementation is crucial.
• Iron therapy in pregnancy prevents issues.
• Outdated guidelines overlook iron deficiency.
• ACOG needs to update iron guidelines.
• Oral iron can be harmful in some cases.
• Universal iron screening is essential.
• Iron deficiency leads to health issues.
• Awareness is key to addressing iron deficiency.

Chapters

• 00:00:00 Introduction and Background
• 00:00:00 Intravenous Iron Therapy
• 00:00:00 Iron Deficiency in Pregnancy
• 00:00:00 Challenges in Iron Supplementation
• 00:00:01 Global Impact and Guidelines

Michael Auerbach, MD, FACP, is a board-certified hematologist and oncologist and an internationally recognized authority on iron deficiency anemia, including its management in pregnancy. A Clinical Professor of Medicine at Georgetown University, he serves on the American Society of Hematology Guidelines Committee and has authored more than 220 peer-reviewed publications, including multiple UpToDate chapters on iron deficiency. Dr. Auerbach is a pioneer in intravenous iron therapy, leading landmark educational sessions and the first U.S. prospective study of IV iron in pregnancy. For more information on Dr. Michael Auerbach you can find information at https://ccbdmd.com/physician/michael-auerbach-md-facp/   

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