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Consider IV iron if: Severe deficiency ferritin under 15 ng/mL with anemia or significant symptoms, especially before surgery or pregnancy Failed oral iron three months of compliant oral supplementation without ferritin response Intolerable side effects from oral iron despite trying multiple forms Malabsorption celiac disease, inflammatory bowel disease, postbariatric surgery, chronic H

Removing a cyst that is pressing on the nerve can also resolve symptoms