Thank you. I'm a lay person, looking at my husband's test results at home, and this really clarified the reason behind the tests. Just looking up the definition of the test is not always helpful, and can oftentimes be alarming. It puts my mind at ease when I know the reason behind tests.
@Strong Medicine and what about copper deficiency? wouldn't it make sense to include it next to B12 and folic acid? (it's probably rare, but could maybe explain some cases?) i'm myself planning to test also my RBC copper levels just in case. and maybe some other vitamins, trace elements, minerals are missed while diagnosing anemia? i've also heard that some people were cured after taking care of stomach acid, enzymes, digestion...either by diet or enzymes supplementation, drinking apple vinegar prior eating, etc... (people with the simplest, iron deficiency anemia caused by diet / malabsorption, with all the other tests negative) Greetings and thanks for this video :) Anaemic girl based in Europe
Copper deficiency is a rare cause of anemia, but also probably underrecognized. It's most common in patients with severe malabsorption syndromes, prolonged TPN (i.e. IV nutrition, if it doesn't include copper), and excess intake of zinc supplements. Anemia from copper deficiency is typically normocytic or macrocytic, and classically (though not always) associated with "ring sideroblasts" on a bone marrow aspirate. In a patient who was persistently anemic despite normal iron, B12, folate, and TSH; who did not have a chronic disease that would suggest anemia of chronic disease (or anemia of renal failure); and who did not have microcytosis that might suggest thalassemia; checking copper is a reasonable thing to do. Or if a bone marrow aspirate had ring sideroblasts without an alternative explanation. In the US, copper deficiency is usually checked with serum copper and ceruloplasmin levels. I have not personally ordered an RBC copper level; although it makes theoretical sense to check it, I would be concerned that the normal range is not well defined, which would increase the likelihood of either a false positives or false negative. Deficiencies of other trace nutrients (except iron of course!) are generally not associated with anemia. I'm sorry that I can't give more specific, individualized medical advice on here.
Thank you very much Dr. Eric for the great videos. I would request you for another lesson on Iron deficiency anemia due to its frequency around the world including in Cambodia.
Can I borrow your brain just for the exam I promise I will return it back
Thank you for making these videos - they are an invaluable resource
This is such a great series! 👍
Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 😊😊 27/9/2022
It is a great summary as always. Do you have an extra light on hospital acquired anemia since its fairly common and now linked to increase mortality?
These videos clarified a great deal of concepts and reasoning in hematology, in minimum time . Thank you so much.
Thank you. I'm a lay person, looking at my husband's test results at home, and this really clarified the reason behind the tests. Just looking up the definition of the test is not always helpful, and can oftentimes be alarming. It puts my mind at ease when I know the reason behind tests.
what an extremely well delivered, concise and educational post...thank you
this is actually quite fantastically really delivered
@Strong Medicine and what about copper deficiency? wouldn't it make sense to include it next to B12 and folic acid?
(it's probably rare, but could maybe explain some cases?)
i'm myself planning to test also my RBC copper levels just in case.
and maybe some other vitamins, trace elements, minerals are missed while diagnosing anemia?
i've also heard that some people were cured after taking care of stomach acid, enzymes, digestion...either by diet or enzymes supplementation, drinking apple vinegar prior eating, etc... (people with the simplest, iron deficiency anemia caused by diet / malabsorption, with all the other tests negative)
Greetings and thanks for this video :)
Anaemic girl based in Europe
Copper deficiency is a rare cause of anemia, but also probably underrecognized. It's most common in patients with severe malabsorption syndromes, prolonged TPN (i.e. IV nutrition, if it doesn't include copper), and excess intake of zinc supplements. Anemia from copper deficiency is typically normocytic or macrocytic, and classically (though not always) associated with "ring sideroblasts" on a bone marrow aspirate. In a patient who was persistently anemic despite normal iron, B12, folate, and TSH; who did not have a chronic disease that would suggest anemia of chronic disease (or anemia of renal failure); and who did not have microcytosis that might suggest thalassemia; checking copper is a reasonable thing to do. Or if a bone marrow aspirate had ring sideroblasts without an alternative explanation.
In the US, copper deficiency is usually checked with serum copper and ceruloplasmin levels. I have not personally ordered an RBC copper level; although it makes theoretical sense to check it, I would be concerned that the normal range is not well defined, which would increase the likelihood of either a false positives or false negative.
Deficiencies of other trace nutrients (except iron of course!) are generally not associated with anemia.
I'm sorry that I can't give more specific, individualized medical advice on here.
Thanks for your efforts in making these videos.
Thank you very much Dr. Eric for the great videos. I would request you for another lesson on Iron deficiency anemia due to its frequency around the world including in Cambodia.
Great job and videos
I am always looking forward to your next installment; thank you.
It’s help me a lot, Thanks Dr.Strong ♥️
Thanks
Great work sir, plz make a series of skin disease
The best
I love the opening of your videos: Approach to.............................Thank you so much.
on point
Thanks
Very informative and educating anemia patients
Is there anyway to get pdf of presentation?
wonderful
THANK YOU
Thanks 👍
Thank you
Thanx sir
Great video as always...thank u DR Eric
excelent
Tq
Thank you for the great series.