Dr. Amy Nett: Yes, you can use a lactoferrin, but in all of the cases you just described, what I would actually do is therapeutic phlebotomy. Lactoferrin is reserved for cases when patients were unable to donate blood due to anemia. A patient can have anemia, whether it’s in B12 or folate anemia that you’re having a hard time correcting, whether it’s a thalassemia, whether there’s another issue causing anemia, and we really need to get the iron levels down before we can correct the anemia, and that’s when I use lactoferrin. For therapeutic phlebotomy, what you do is you write an order for phlebotomy, and then the patients can go generally to their local hospital. You can order either a full unit or half a unit to be drawn, and unfortunately, they just throw out the blood. Sometimes it’s a bummer because I feel like the blood is actually not all that bad, and there’s a dire need for it, but where there really is a concern, you can just do therapeutic phlebotomy. You can also do that if you have a really significant iron overload, and you need to be or you prefer to have the blood draws more frequently than they’ll allow just with donations alone because with donations they sometimes only allow donations like every two to three months. If you wanted to do it more quickly than that, you do have the option of doing the therapeutics phlebotomy so that you can write for it every two weeks, every four weeks. I tend not to mean that aggressive in terms of doing the phlebotomy, but that would be another option. I would think about therapeutic phlebotomy and reserve lactoferrin for cases where people aren’t able to donate blood either because they have an anemia so you can get rid of it or they have a really an adverse reaction to blood donation.