© 1997 Andrew Lundin, M.D. All rights reserved.
Reproduced with permission.
Weakness can be a marker of inadequate dialysis but can be
due to other
causes as well. Iron (Fe) is important not only for the
but for muscle function as well. With high doses of EPO
(>5000) the Hct
may look okay but one may still feel weak if they are
deficient in Fe.
The markers for Fe repletion are still far from perfect but
Fe %saturation should be between 25 and 35%
ferritin between 200 to 500 mg/dl.
There is still some controversy about the latter
If you are well dialyzed by Kt/V or URR and have good Fe
stores and are
still feeling weak or with a poor appetite, then another
cause must be
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