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HomeBlogIron infusions. Do you need it? And the price went down as it went generic!
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Blood is important to make your body function and iron is a key element in blood.

What are signs of low iron?

Low iron most commonly causes fatigue, paleness, shortness of breath, dizziness, headaches, cold intolerance, brittle nails, hair/skin changes, and restless legs. These symptoms are because low iron lowers blood hemoglobin, which limits oxygen delivery to tissues throughout your body.

Iron is important for blood levels. What do the tests look like?

  • Serum Iron Measures circulating iron bound to transferrin. Levels fluctuate throughout the day
  • Total Iron‑Binding Capacity (TIBC) Shows how much iron the blood can carry; reflects transferrin availability. If high = iron deficiency. If low = inflammation or too much iron.
  • Transferrin Saturation (TSAT) — Percentage of transferrin molecules carrying iron.  TSAT = (Serum Iron ÷ TIBC) × 100. Low TSAT =<20% = deficiency; high TSAT = 50% = overload. You want your number to be 25-40 %.
  • FerritinThe most sensitive marker of iron stores. Low ferritin = iron deficiency; high ferritin = iron overload or inflammation. You want your number to be 40-100. Inflammation can falsely elevate the number. If having hair loss you want the number to be around 70.
  • Hemoglobin. Shows your red blood level. You want your number to be Hb > 12 for women > 13 for men.

Who may have low iron?

  • Pregnancy  IV iron should be given to patients with iron deficiency during the second and third trimesters of pregnancy, as oral iron may be insufficient in the time window.
  • Chronic kidney disease  Patients on hemodialysis. They should switch from oral to IV if orals did not improve within 1-3 months.
  • Heart failure with iron deficiency  IV iron is recommended for symptomatic patients with heart failure with reduced ejection fraction (ferritin < 100 or TSAT < 20%). It has been shown to improve function and quality of life and reduce hospitalizations.
  • Malabsorption syndromes including celiac disease and genetic iron-refractory iron deficiency anemia
  • Chronic blood loss 
  • Cancer patients receiving chemotherapy with concomitant iron deficiency or functional iron deficiency from elevated hepcidin
  • Perioperative anemia when rapid hemoglobin correction is needed before surgery

How can you raise your iron levels?

  • Diet
    • Meat sources are the most absorbed: Beef, lamb, pork, chicken, liver and organ meats, seafood
    • Eggs
    • Plant based: lentils, beans, soybeans, tofu, spinach, kale, green peas, seasame seeds, cashews
  • Iron supplements  Vary by the type of iron /strength and form (pill vs liquid). There can be issues for many with GI side effects, black stools, metallic taste, and with the liquid- discoloration of teeth. There can be interactions with other medications and zinc absorption.
  • IV Iron. Who should do IV?
    • If you cannot tolerate oral iron or your iron levels do not improve within one month (as shown by Hemoglobin increase by 1 g/dL within 2 weeks or Ferritin rise within a month).
    • Impaired absorption: post-bariatric surgery, active inflammatory bowel disease (IBD)
    • Chronic kidney disease
    • Blood loss exceeding oral intake (like ongoing GI bleeding)
    • Those who need to build their iron stores quickly (pregnancy, surgery)

Iron infusions at Biohackr Health.

The great product, Venofer (iron sucrose) went generic 6 months ago. Prior to that, it was over $1000 a dose, but now we can offer it for $250.

  • This is good for those with a hemoglobin under 11.0gm/dl or hematocrit under 33% documented by a blood test within the last 30 days. You must be cleared for the infusion by a Biohackr physician or nurse practitioner.
  • IV therapy increases blood counts by about 300% more compared to oral iron therapy.
  • TIME: Depending on your starting blood work, we usually recommend 1-3 iron infusions 5-7 days apart, with repeat blood work at one month.
  • True allergic reactions to IV iron are very rare (~1:200,000 for major reactions); most reactions are complement activation–related “pseudo-allergies” which are managed by pausing and restarting the infusion at a slower rate

So come in, relax in our comfy massage chairs, have snacks, and boost your iron in with our Biohackr Iron IVs in Palo Alto or San Francisco.

The information provided on this website is for general informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider for any questions regarding your health or medical condition.
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