Updated C.M, A.K & J.B March 26 Who to refer: Patients with unexplained iron deficiency anaemia should be referred to GI as outlined in the Gastroenterology IDA RefHelp page As Menstruation is the most common cause of IDA in menstruating people under 50 years of age, then this group of patients can still be referred under the GI IDA Referral pathway, but they will be triaged to stool qFIT testing only and if double qFIT testing is negative they will not proceed to other GI investigations If under a parent specialty for bleeding symptoms, or with a clear organ system cause for iron deficiency, referral should be directed to the appropriate specialty
Managing symptoms safely Safe symptom management during withdrawal focuses on non-pharmacological approaches where possible, including stress reduction techniques, sleep hygiene, gentle exercise as tolerated, and maintaining regular routines
The PHQ-9
3 Peptides are emerging products that inhibit melanin synthesis with little side effect Numerous studies have identified bioactive peptides as having various benefits, including antibacterial, antiviral, diabetic, and anticancer properties (Kumar et al., 2024
[Editors note: Always speak to your veterinarian before changing your cats diet] Introduction of a new pet (e.g., dogs or cats) causes environmental stress and may result in your cats sudden loss of appetite Introduction of two-legged newborns (i.e., human babies) causing environmental stress Stressful situations (e.g., visiting guests who live in your house for a few days, scaring your cat away) Symptoms of fatty liver disease in cats Signs of hepatic lipidosis can be really subtle, so its important to watch for clinical signs of the following: Decreased appetite or complete inappetence (i.e., anorexia) Hiding in unusual places (e.g., closet) Weakness or lethargy Icterus/jaundice (a yellow-tinged color to the gums or skin, best seen on the ears and eyes) Drooling (often a sign of nausea) Vomiting Dehydration Small fecal clumps in the litter box (due to lack of eating) Constipation Collapse Weight loss Muscle wasting A weakened neck (the head hangs down more than usual with a chin tuck) When untreated or in severe cases signs of liver failure can include the following: Black tarry stool Bruising (abnormal clotting) Coma (from the liver poisons building up in the body) Abnormal behavior progressing to seizures Death How do we diagnose and treat fatty liver disease in cats
On the other hand, there is no strong evidence suggesting that acquired hypothyroidism could be a risk factor for schizophrenia or bipolar disorder
