Iron Deficiency and Anemia, Inflammatory Bowel Disease (IBD) — Goals of Therapy — Clinical Pathway: Outpatient Specialty Care and Primary Care

Inflammatory Bowel Disease with Iron Deficiency and Anemia Clinical Pathway — All Settings

Goals of Therapy

  Normalization of Hb Normalization of Iron Store
IV PO IV PO
Anemic ID 4-6 weeks 8 weeks* 24 weeks
Non Anemic ID NA 8 weeks* 12 weeks
Note that for up to 8 weeks after IV iron therapy, serum ferritin levels correlate less well with body iron stores; iron therapy induces ferritin synthesis and makes levels artificially high.

Definition of Normal Iron Store

  Ferritin
Active disease ≥ 100 ug/L
Inactive disease ≥ 30 ug/L