A/Prof. Ken Sikaris - 'Blood Tests for Iron Status'

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  • เผยแพร่เมื่อ 4 มิ.ย. 2021
  • A graduate of the University of Melbourne, Dr Sikaris trained at the Royal Melbourne, Queen Victoria, and Prince Henry's Heidelberg Repatriation Hospitals. He obtained fellowships from the Royal College of Pathologists of Australasia and the Australasian Association of Clinical Biochemists in 1992 and 1997 respectively.
    Dr Sikaris was Director of Chemical Pathology at St Vincent's Hospital in Melbourne between 1993 and 1996. A NATA-accredited laboratory assessor, Dr Sikaris specialises in Prostate Specific Antigen, cholesterol and quality assurance and is currently chair of the International Federation of Clinical Chemistry Committee on Analytical Quality. His expertise is highly sought and he has presented extensively at national and international symposiums.
    Please consider supporting Low Carb Down Under via Patreon. A small monthly contribution will assist in the costs of filming and editing these presentations and will allow us to keep producing high quality content free from advertising. For further information visit; / lowcarbdownunder
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ความคิดเห็น • 53

  • @panaceiasuberes6464
    @panaceiasuberes6464 3 ปีที่แล้ว +13

    Still my favourite lecturer after all these years. His small but very scientific role in "That Sugar Film" was truly enlightening.

  • @iandalton6887
    @iandalton6887 3 ปีที่แล้ว +20

    The simplest explanation of remedies for problems noticed after iron studies, that I have ever seen !

  • @Gengh13
    @Gengh13 3 ปีที่แล้ว +9

    Awesome, thanks for the introduction to the iron panel, can't wait to see the confused look in my doctor when I ask for the tests.

  • @melissag.664
    @melissag.664 3 ปีที่แล้ว +7

    This lecture was incredibly enlightening! People who raise their children vegetarian are causing long-term irreparable harm. 😔

  • @kimberlytarpley3741
    @kimberlytarpley3741 3 ปีที่แล้ว +6

    Wow VERY informative. More informative than my own hematologist.

  • @spadada
    @spadada 2 ปีที่แล้ว +3

    Thank you so much! I wish doctors would get more training from people like you so they can better understand the tests they are giving. Even hematologists seem to misunderstand the importance of optimal ferritin levels.

  • @YouTuber-ep5xx
    @YouTuber-ep5xx 3 ปีที่แล้ว +5

    Cheat Sheet: The important test is serum ferritin. Low, below 10, means iron deficiency, anemia, below 30 watch it. High, above 200, can mean iron overload, inflammation, hepatitis, cancer. Bacteria/infection tend to consume your iron, body responds by trying to hide/horde iron. Carnivore does not cause hemochromatosis (excess iron/iron overload).

  • @jessicali8594
    @jessicali8594 3 ปีที่แล้ว +21

    Too many people follow diets far too high in refined carbohydrates, hence low copper, iron, magnesium, potassium and zinc.

    • @scottw2317
      @scottw2317 3 ปีที่แล้ว +2

      funnily enough with high carb diets can exacerbate haemochromatosis. One of the issues being inflammation of not the liver but kidneys stopping the flushing out of some of the iron. there are many stories of very high iron levels dropping from keto or carnivore diets are kidney function changes.

    • @njsongwriter
      @njsongwriter ปีที่แล้ว +1

      Actually refined flour has been fortified with iron. This iron is toxic because it's not in a form that's bioavailable.

  • @dennisbauer3315
    @dennisbauer3315 3 ปีที่แล้ว +5

    Thank you very much.

  • @malcolmsargeant7818
    @malcolmsargeant7818 3 ปีที่แล้ว +2

    A very interesting presentation, myself and my family suffer from hemachromatosis , very high ferritin high transferritin saturation.

  • @b4bmm
    @b4bmm ปีที่แล้ว +1

    Would have been nice to touch on the best sources of iron or things that might prevent iron absorbtion.

  • @calexprenas
    @calexprenas 2 ปีที่แล้ว

    good patient education around what these studies mean is sorely lacking; this was wonderful and helped me understand something that i have read up on many times and still failed to grasp, until now.

  • @eapenninan4950
    @eapenninan4950 3 ปีที่แล้ว +2

    Thanks

  • @dig1035
    @dig1035 2 ปีที่แล้ว

    Thumbs up and subscribed!

  • @TraePlusTv
    @TraePlusTv 3 ปีที่แล้ว

    My iron was extremely low a year ago and it fully explained my fatigue. I was worried about the iron supplements because of the reviews but I got my labs drawn with a company called Personalabs. Educated myself on iron and how I can elevate the levels, did my studying and implemented the things I learned and I was able to get my levels up on my 3 month checkup.
    I believe the panel I ordered was the healthy male checkup from Personalabs for like $100

  • @paulam1596
    @paulam1596 3 ปีที่แล้ว +7

    I just found out my ferritin is 6 and now going through iron infusion Venofer.

    • @Gengh13
      @Gengh13 3 ปีที่แล้ว +2

      Start eating liver.

    • @KJB0001
      @KJB0001 3 ปีที่แล้ว

      Mine was 7 and in a few months it went up to 12 with desiccated bovine liver pills from amazon. Watch the videos on the website that explains their formula. Also, you could grind up a few ounces of liver and hide it in a meatloaf. Or eat little neck clams. www.amazon.com/gp/product/B087BMSLZJ/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1

    • @sassuki
      @sassuki 3 ปีที่แล้ว +1

      @@Gengh13 you can't rely on liver too much, else you get Vitamin A overdose. Liver is good once a week. For the rest of the days, you need to get your daily steak or chunk of meat.

    • @sassuki
      @sassuki 3 ปีที่แล้ว

      @@KJB0001 Not enough. You need to correct the deficiency fast using high-dose iron tablets (80 to 100mg) combined with 1.000mg vitamin C to improve absorption.
      With 100mg it takes 100 days to get up 100 points in the ferritine score.
      But make sure you take the Vitamin C tablet with it at the same time!

    • @Structuredrelaxation
      @Structuredrelaxation 3 ปีที่แล้ว

      @@sassuki unless you eat polarbearliver you can't overdose it. there is no dokumented case of vitamin-a-intoxication from normal liver. Toxicitiy cases only occur when highly supplemented. You just can't go wrong with eating liver.

  • @alfredopampanga9356
    @alfredopampanga9356 ปีที่แล้ว

    The Prof could have usefully elaborated on iron deficiency WITHOUT anemia. This condition can be quite debilitating and responds to a week or so of iron supplements
    Muscle aches , fatigue go away

  • @aliendroneservices6621
    @aliendroneservices6621 2 ปีที่แล้ว +2

    14:08 "If there's any history of vegetarian or veganism, twice as likely to be iron deficient."

  • @bigdanny9721
    @bigdanny9721 3 ปีที่แล้ว +2

    How about the copper in the body?

  • @Unsensitive
    @Unsensitive 3 ปีที่แล้ว

    Single carrier of H63D here.
    Incidentally found out I had elevated liver iron by participation in an MRI research study, later got genetic testing which picked it up.
    Currently just outside the normal range, maybe in mild overload.
    I started donating blood every 2 months, and plan to the rest of my life.
    Sad part is if I get diagnosed with hemichromatosis, they won't accept my blood anymore, letting it go to waste. And then I'll have to pay to have it removed..

  • @kevkonk
    @kevkonk 2 ปีที่แล้ว +1

    Serum Ferritin 301 anything to do with cold feet, fingertips?

  • @manny4491
    @manny4491 3 ปีที่แล้ว +8

    I almost lost my leg years ago because of an infection! I was taking 2 iron tablets a day as directed by my doctor! I wonder if the iron helped the infection?

    • @sassuki
      @sassuki 3 ปีที่แล้ว

      Not necessarily. Also depends on the dosis. If you say 2 tablets, this sounds like low-dose.

    • @alfredopampanga9356
      @alfredopampanga9356 ปีที่แล้ว

      More likely to be your cigarettes or diabetes

  • @aliendroneservices6621
    @aliendroneservices6621 2 ปีที่แล้ว +2

    31:31 "Carnivore diets do not cause hemochromatosis."

  • @TimL1980
    @TimL1980 3 ปีที่แล้ว +1

    Just checked: last "iron" test: 88micrograms/decilitre.... also the cutoff appears to be 53 here....

    • @sassuki
      @sassuki 3 ปีที่แล้ว +1

      He's talking about the ferritine cut-off, not the iron one.
      Ferritine is usually measured in µg/L, not dL.

  • @stevephla
    @stevephla 3 ปีที่แล้ว +4

    Hemochromatosis is pretty common. And treatment via phlebotomy or donation is simple, but nobody seems to state to exactly what ferritin level is the optimal target. Ferritin below 1000 seems to be asymptomatic. Ok great. So if I am at 1000 I should begin treatment so that the disease processes don’t begin as my levels continue to creep up. But how low should I go? 500? 50? Would love some clarity here.

    • @iandalton6887
      @iandalton6887 3 ปีที่แล้ว +2

      Steve PHL, his graph at 10:33 shows a an optimum of 100-300 for Men !

    • @JD-rc6lq
      @JD-rc6lq 3 ปีที่แล้ว

      Given the causes of high ferritin he mentions at 8:56 one should probably figure out the cause before self-treating.

    • @KenSikaris
      @KenSikaris 3 ปีที่แล้ว

      Excellent question.
      While the risk to the liver is decreased when ferritin falls below 1000, the transferrin saturation doesn’t normalise (

    • @stevephla
      @stevephla 3 ปีที่แล้ว +1

      @@JD-rc6lq My question assumes a diagnosis of homozygous hemochromatosis.

    • @stevephla
      @stevephla 3 ปีที่แล้ว +2

      @@KenSikaris Thanks. Yeah, I'm leaning that way. Although Paul Mason mentions that some of his hemochromatosis athletes feel "lousy" below 500. So it's an odd nut to crack.

  • @coweatsman
    @coweatsman 3 ปีที่แล้ว +3

    Someone coughing. A bit of a concern.

    • @philjohns3533
      @philjohns3533 3 ปีที่แล้ว +2

      The cougher should have been removed...paid to sabotage the lecture

  • @btudrus
    @btudrus 3 ปีที่แล้ว +1

    what about insulin?

    • @sassuki
      @sassuki 3 ปีที่แล้ว +1

      Has nothing to do with it. But Vitamin C does. Vitamin C improves the absorption.

  • @aliendroneservices6621
    @aliendroneservices6621 2 ปีที่แล้ว +1

    4:08 Serum iron is a useless test.

    • @wocket42
      @wocket42 2 ปีที่แล้ว +1

      Also just testing for two of the three is also not giving you the whole picture. So I gather: do all three or save the money.

  • @TimL1980
    @TimL1980 3 ปีที่แล้ว +3

    A great remedy for iron deficiency for girls that refuse meat is blood 😁🍷🥩 I always drink that half glass when I open another packet of steaks - but I'm sure most people let it go to waste - thus making it an alternative for those whackoes that don't want to inflict (additional!?) harm. (Not getting into the whole "how many animals are killed for your breakfast cereal" thing here.)