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. 2021 Nov 19;70(3):891–899. doi: 10.1111/jgs.17565

TABLE 2.

Diagnostic exclusion criteria for unexplained anemia of aging

Potential cause Guralnik et al. criteria Expanded criteria
Diagnosis of anemia

World Health Organization criteria:

Men <13 g/dl

Women <12 g/dl

men and postmenopausal women

<13 g/dl

Iron Status

Ferritin <12 ng/ml

Transferrin saturation < 15%

Ferritin <40 ng/ml 67

Transferrin saturation < 15%

B12 < 200 pg/ml < 200 pg/ml
Folate

red blood cell folate <102.6 ng/ml

Home exam: serum folate <2.6 ng/ml

Red blood cell folate <102.6 ng/ml

Alternative: serum folate <2.6 ng/ml

Chronic kidney disease Creatinine clearance <30 ml/m Creatinine clearance <30 ml/m
Chronic inflammation Serum iron <60 μg/dl Diagnosed inflammatory disease and serum iron <60 μg/dl 10
Thyrotropin/TSH <0.1 mU/ml or >10 mU/ml (except in cases of corrective thyroid therapy without erythroid response)
Other No history of evidence of hematologic malignancy or myelodysplastic syndrome