Table 5.

Conditions with low or limited response to oral iron preparations

Noncompliance 
Severe side effects (eg, gastrointestinal) 
Limited absorption (eg, in inflammatory bowel disease) 
Postoperative phase (first days to weeks) 
Abnormal hepcidin regulation 
Limited time 
Chronic inflammatory stages (eg, rheumatoid arthritis) 
Use of red cell–stimulating hormones (eg, rhEPO, NESP) 
Preexisting moderate-to-severe iron-deficiency anemia 
Iron preparation with low pharmacological properties 
Noncompliance 
Severe side effects (eg, gastrointestinal) 
Limited absorption (eg, in inflammatory bowel disease) 
Postoperative phase (first days to weeks) 
Abnormal hepcidin regulation 
Limited time 
Chronic inflammatory stages (eg, rheumatoid arthritis) 
Use of red cell–stimulating hormones (eg, rhEPO, NESP) 
Preexisting moderate-to-severe iron-deficiency anemia 
Iron preparation with low pharmacological properties 

NESP, novel erythropoiesis stimulating protein; rhEPO, recombinant human erythropoietin.

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