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Is Iron and Anemia Deficiency the Same?

Last Updated on October 21, 2025 by mcelik

Iron and Anemia: Crucial Differences Explained
Is Iron and Anemia Deficiency the Same? 4

Nearly 1 in 4 people worldwide suffer from anemia. This is a condition where the body doesn’t have enough healthy red blood cells. These cells are key for carrying enough oxygen to the body’s tissues.

However, not everyone with anemia has iron deficiency, and not everyone with iron deficiency has anemia. Understanding the relationship between iron and anemia is crucial for proper diagnosis and treatment.

The terms iron and anemia are often mixed up, but they are not the same. Iron deficiency anemia happens when there’s not enough iron in the body, which leads to a reduction in hemoglobin levels in red blood cells. Hemoglobin is the protein that carries oxygen throughout the body.

Knowing how iron and anemia are linked helps identify the right treatment”whether it’s improving dietary intake, using supplements, or addressing underlying causes.

Key Takeaways

  • Anemia is a condition where the body lacks enough healthy red blood cells.
  • Iron deficiency is a specific cause of anemia, but not the only one.
  • Not everyone with iron deficiency has anemia.
  • Understanding the difference is key for proper diagnosis and treatment.
  • Iron deficiency anemia is a specific type of anemia caused by a lack of iron.

Understanding Anemia: Definition and Overview

Iron and Anemia: Crucial Differences Explained
Is Iron and Anemia Deficiency the Same? 5

Anemia is when the body doesn’t get enough oxygen because it lacks healthy red blood cells. This happens when there are not enough red blood cells or when they are not working right. Red blood cells are key for carrying oxygen to all parts of the body.

Anemia can be caused by many things, like not enough iron or vitamins, chronic diseases, or genetic disorders. Knowing the different types of anemia is key for finding the right treatment.

What Defines Anemia Medically

Doctors say anemia when a person’s hemoglobin level is too low. Hemoglobin is a protein in red blood cells that carries oxygen. A person is diagnosed with anemia if their hemoglobin is below 13.5 g/dL for men and 12 g/dL for women. Symptoms include feeling very tired, weak, and short of breath.

A medical expert once said,

“Anemia is not a disease but a sign of an underlying condition that needs to be addressed.”

This shows why it’s important to find the real cause of anemia in patients.

Common Types of Anemia

There are many types of anemia, each with its own cause and symptoms. Some common ones are:

  • Iron deficiency anemia, when the body doesn’t have enough iron for hemoglobin.
  • Vitamin deficiency anemia, caused by not having enough vitamins like B12 or folate.
  • Anemia of chronic disease, linked to long-term illnesses like cancer or HIV/AIDS.
  • Sickle cell anemia, a genetic disorder that changes the shape of red blood cells.

Each type needs a specific treatment plan, making accurate diagnosis very important.

Iron Deficiency Explained

The human body needs iron for many important functions. A lack of iron can cause serious health problems. Iron helps make hemoglobin, a key protein in red blood cells. It carries oxygen from the lungs to the rest of the body.

What Happens When Your Body Lacks Iron

Not having enough iron can lead to health issues. First, the body’s iron stores get low. This can lower hemoglobin production.

This makes it harder for oxygen to reach tissues and organs. Symptoms include fatigue, weakness, and shortness of breath.

Key effects of iron deficiency include:

  • Reduced production of hemoglobin
  • Impaired oxygen delivery
  • Increased risk of infections

Stages of Iron Deficiency

Iron deficiency progresses through multiple stages, each showing distinct signs.

StageDescription
Stage 1: Depletion of Iron StoresThe body’s stored iron is depleted, but there’s enough for hemoglobin production.
Stage 2: Iron Deficient ErythropoiesisRed blood cell production is impaired due to iron lack, but anemia may not be present yet.
Stage 3: Iron Deficiency AnemiaA condition where iron lack leads to a big drop in hemoglobin production, causing anemia.

Health experts say iron deficiency is a big public health problem worldwide. It affects people of all ages and backgrounds. Knowing the stages and effects of iron deficiency is key for early detection and treatment.

The Relationship Between Iron and Anemia

Iron and Anemia: Crucial Differences Explained
Is Iron and Anemia Deficiency the Same? 6

Iron and anemia are closely linked. Iron is key for making hemoglobin and keeping red blood cells healthy. Hemoglobin carries oxygen from the lungs to the body.

How Iron Functions in Blood Production

Iron is essential for making hemoglobin. It comes from food and goes to the bone marrow. There, it helps create red blood cells. Without enough iron, the body can’t make enough healthy red blood cells, causing anemia.

The Role of Hemoglobin

Hemoglobin is in red blood cells and carries oxygen. It’s made of heme (with iron) and globin. The iron in hemoglobin binds to oxygen, letting red blood cells carry it to the body’s tissues.

Hemoglobin is very important. It carries oxygen and helps keep the body’s acid-base balance. This is vital for the body’s tissues and organs to work right.

Iron Metabolism and Regulation

Iron metabolism deals with iron’s absorption, transport, storage, and use. The body controls iron levels to meet needs while avoiding too much. This balance is key for health.

Iron metabolism is complex, with many proteins and mechanisms involved. Hepcidin, made by the liver, helps manage iron levels. Knowing about iron metabolism helps diagnose and treat anemia.

Is Anemia and Iron Deficiency the Same Thing?

Anemia and iron deficiency are related but different health issues. Iron deficiency is a common reason for anemia. But not all anemia comes from iron deficiency, and not all iron deficiency causes anemia.

Key Differences Between the Conditions

Anemia means not enough healthy red blood cells to carry oxygen. It can be caused by iron deficiency, vitamin lack, chronic diseases, or genetic issues. Iron deficiency is when the body doesn’t have enough iron, which can lead to anemia if severe.

Iron deficiency can happen without anemia if iron stores are low but not enough to stop red blood cell production. Anemia can also happen without iron deficiency, like from vitamin B12 or folate lack.

Why the Confusion Exists

People often confuse anemia and iron deficiency because iron deficiency anemia is common. The symptoms of iron deficiency and anemia can be similar. This makes it important to tell them apart.

When They Occur Together vs. Separately

Iron deficiency and anemia often happen together when iron deficiency is severe. But they can also happen alone. For example, mild iron deficiency might not cause anemia, and anemia from other causes might not have iron deficiency.

It’s key to know if someone has iron deficiency, anemia, or both to choose the right treatment. Tests like complete blood counts and iron level checks help figure out the exact issue.

Iron Deficiency Without Anemia

Anemia is a known effect of iron deficiency, but it can also happen without anemia. This is called non-anemic iron deficiency. It affects many people and can lead to health problems.

Characteristics of Non-Anemic Iron Deficiency

Non-anemic iron deficiency means your body has less iron than it needs. But it’s not enough to cause anemia. It can make you feel tired, less productive, and affect your thinking.

To diagnose this, doctors use blood tests. These tests check your iron levels and other signs of iron status. Knowing these signs helps doctors treat the condition better.

Prevalence of the Condition

Research shows non-anemic iron deficiency is common worldwide. It affects different groups of people. The exact number depends on diet, lifestyle, and health.

Population GroupPrevalence of Non-Anemic Iron Deficiency
Women of Childbearing Age15-20%
Vegetarians/Vegans20-25%
Athletes10-15%

Impact on Health and Function

Non-anemic iron deficiency can harm your health and how your body works. It can make you less energetic, affect your thinking, and weaken your immune system.

Key Health Impacts:

  • Fatigue and decreased productivity
  • Impaired cognitive function and concentration
  • Weakened immune system

Fixing non-anemic iron deficiency can help. You can change your diet, take supplements, or get medical help. These steps can improve your health.

Types of Anemia Not Related to Iron Deficiency

Anemia isn’t just about iron. It can also come from vitamin shortages, chronic diseases, or problems with red blood cells. These issues affect how well our bodies make and use these cells.

Vitamin Deficiency Anemias (B12, Folate)

Vitamins B12 and folate are key for making red blood cells. Without enough, you might get megaloblastic anemia. This is when your red cells are too big and don’t work right.

  • Vitamin B12 deficiency: Often linked to pernicious anemia, where your body can’t absorb B12.
  • Folate deficiency: Can happen from a bad diet, needing more during pregnancy, or not absorbing it well.

Hemolytic Anemia

Hemolytic anemia happens when red blood cells break down too fast. This can be due to infections, medicines, or autoimmune diseases.

  1. Hereditary hemolytic anemia: Includes sickle cell anemia and thalassemia.
  2. Acquired hemolytic anemia: Caused by things outside the body, like infections or toxins.

Aplastic Anemia

Aplastic anemia is rare and serious. It’s when your bone marrow can’t make blood cells. It might be caused by toxins, radiation, certain medicines, or viruses.

Anemia of Chronic Disease vs. Iron Deficiency

Anemia of chronic disease happens in people with long-term illnesses like rheumatoid arthritis, cancer, or HIV/AIDS. It looks like iron deficiency anemia but is caused by inflammation and the body’s response to chronic disease.

Here’s what sets anemia of chronic disease apart from iron deficiency anemia:

CharacteristicsAnemia of Chronic DiseaseIron Deficiency Anemia
CauseChronic inflammation or diseaseLack of sufficient iron
Iron StatusIron may be trapped in stores, not available for useLow iron levels

Causes of Iron Deficiency

It’s important to know why iron deficiency happens. It can come from not getting enough iron in your diet, losing blood, not absorbing iron well, or needing more iron at certain times in life.

Dietary Insufficiency

Eating foods low in iron can lead to deficiency. This is true for people who don’t eat meat or animal products. Iron from plants is harder for the body to use than iron from animals.

Key dietary factors contributing to iron deficiency include:

  • Eating too little iron-rich foods
  • Not getting enough vitamin C, which helps iron absorption
  • Drinking too much tea or coffee, which can block iron absorption

Blood Loss

Iron deficiency can also come from losing too much blood. This can happen for many reasons, like:

  • Having very heavy periods
  • Having ulcers or cancer in the stomach or intestines
  • Donating blood too often

Malabsorption Issues

Some people can’t absorb iron well because of health problems or surgery. Conditions like celiac disease, Crohn’s disease, and gastric bypass surgery can make it hard for the body to use iron from food.

Increased Iron Requirements

Some times in life or health conditions mean you need more iron. If you don’t get enough, you can become deficient. This includes:

  • Pregnancy, when you need more iron for your blood and your baby
  • Childhood and adolescence, when you’re growing fast
  • Being very active, like athletes, who lose more iron through sweat

The table below shows the main reasons for iron deficiency:

CauseDescriptionExamples/Risk Factors
Dietary InsufficiencyNot getting enough iron from foodVegetarian/vegan diet, low iron intake
Blood LossChronic blood loss that depletes ironHeavy menstrual periods, ulcers, frequent blood donation
MalabsorptionCan’t absorb iron well due to health issues or surgeryCeliac disease, Crohn’s disease, gastric bypass surgery
Increased RequirementsNeeds more iron during certain times or conditionsPregnancy, childhood, adolescence, high activity

Symptoms: How to Recognize Iron Deficiency and Anemia

Iron deficiency and anemia show symptoms that are often missed. It’s key to spot these signs early for proper treatment.

Common Symptoms of Iron Deficiency

Iron deficiency can cause fatigue, weakness, and shortness of breath. This happens because the body doesn’t have enough iron. Iron is needed to make hemoglobin, which carries oxygen.

  • Fatigue and weakness
  • Pale skin
  • Shortness of breath
  • Dizziness or lightheadedness

Symptoms Specific to Anemia

Anemia means not enough red blood cells or poor quality ones. It brings symptoms like rapid heartbeat, headaches, and cold hands and feet.

  • Rapid heartbeat
  • Headaches
  • Cold hands and feet

When Symptoms Overlap

Symptoms of iron deficiency and anemia often look the same. Both can cause fatigue and weakness because of less oxygen in the blood.

Unique Symptoms Based on Severity

The severity of iron deficiency and anemia affects symptoms. Severe cases can lead to more intense symptoms, like extreme fatigue and dizziness.

Symptom SeverityCommon Symptoms
MildMinimal fatigue, slight weakness
ModerateNoticeable fatigue, pale skin, shortness of breath
SevereExtreme fatigue, dizziness, rapid heartbeat

Knowing the symptoms of iron deficiency and anemia is vital. It helps in getting the right treatment on time.

Hemoglobin vs. Iron: Understanding the Difference

It’s important to know the difference between hemoglobin and iron to diagnose and treat anemia and iron deficiency. Both are key parts of our blood but have different roles and are tested in different ways.

What Blood Tests Measure

Blood tests are key for spotting issues with hemoglobin and iron. They check levels of hemoglobin, iron, and other important markers.

Hemoglobin is a protein in red blood cells that carries oxygen. Iron is a vital part of hemoglobin, needed for its creation and work.

How Hemoglobin and Iron Levels Relate

Hemoglobin and iron are linked because iron is needed to make hemoglobin. Without enough iron, the body can’t make enough healthy red blood cells, causing anemia.

As iron levels drop, hemoglobin levels stay the same at first. But as iron deficiency gets worse, hemoglobin levels also fall, leading to iron deficiency anemia.

Why Both Measurements Matter

Testing both hemoglobin and iron levels gives a full picture of health regarding anemia and iron deficiency. Hemoglobin shows how well the blood carries oxygen. Iron levels show how much iron the body has for making hemoglobin and other functions.

ParameterDescriptionNormal Range
HemoglobinProtein in red blood cells that carries oxygen13.5-17.5 g/dL (men), 12-16 g/dL (women)
IronEssential mineral for hemoglobin production and other bodily functions60-170 mcg/dL

Knowing the difference between hemoglobin and iron is key for diagnosing and managing anemia and iron deficiency. Regular blood tests can spot problems early, helping to act quickly.

Diagnostic Approaches for Iron Deficiency and Anemia

It’s important to know how to diagnose iron deficiency and anemia. This involves looking at the patient’s history and doing lab tests. A doctor will use these methods to find the right treatment.

Blood Tests for Iron Levels

Blood tests are key in finding iron deficiency and anemia. They check iron levels, ferritin, and how much iron is bound to transferrin. Ferritin shows how much iron the body has stored.

Key blood tests for iron levels include:

  • Serum Iron Test: Measures the amount of iron in the blood.
  • Ferritin Test: Indicates the body’s iron stores.
  • Total Iron-Binding Capacity (TIBC) Test: Measures the capacity of the blood to bind iron with transferrin.
  • Transferrin Saturation Test: Calculates the percentage of transferrin that is saturated with iron.

Complete Blood Count (CBC)

A CBC checks many parts of the blood. It looks at red blood cells, hemoglobin, and more. It helps find anemia and how bad it is.

ParameterNormal RangeSignificance in Anemia Diagnosis
Hemoglobin (Hb)13.8-17.2 g/dL (men), 12.1-15.1 g/dL (women)Low levels indicate anemia.
Hematocrit (Hct)40.7-50.3% (men), 36.1-44.3% (women)Low levels indicate anemia.
Mean Corpuscular Volume (MCV)80-100 fLHelps classify anemia (microcytic, normocytic, macrocytic).

Additional Diagnostic Tests

More tests might be needed to find the cause of iron deficiency or anemia. These include:

  • Reticulocyte Count: Assesses bone marrow function and response to anemia.
  • Erythropoietin Level: Helps diagnose anemia of chronic disease.
  • Bone Marrow Biopsy: May be performed to assess iron stores and diagnose certain types of anemia.

Differential Diagnosis Considerations

Differential diagnosis is key to figuring out the type of anemia. It looks at many possible causes and uses tests to narrow it down. This helps find the right treatment.

The accuracy of diagnosis relies on a complete understanding of the patient’s history and lab results.

Iron Deficiency Anemia: Histology and Pathophysiology

It’s important to understand the changes in iron deficiency anemia. This condition affects how blood carries oxygen. It leads to various changes in the body.

Microscopic Blood Changes

In iron deficiency anemia, the blood changes a lot. The red blood cells are microcytic and hypochromic. This means they are smaller and have less hemoglobin.

Bone Marrow Adaptations

The bone marrow tries to make more red blood cells when iron is low. This is called erythropoiesis. But without enough iron, these new cells don’t work right.

Cellular and Systemic Effects

Iron deficiency anemia affects the body a lot. It makes it hard for cells to get oxygen and make energy. It also causes symptoms like fatigue, weakness, and shortness of breath.

ConditionRed Blood Cell CharacteristicsMain Symptoms
Iron Deficiency AnemiaMicrocytic, HypochromicFatigue, Weakness
Normal ConditionNormocytic, NormochromicNone

Treatment Approaches for Iron Deficiency

Fixing iron deficiency needs a few steps. First, change your diet. Then, take iron supplements. Lastly, find and fix the main problem. This way, you keep your iron levels up and avoid getting low again.

Dietary Modifications

Changing what you eat is key to treating iron deficiency. Eating more foods high in iron helps a lot. Iron-rich foods are red meat, poultry, fish, beans, lentils, and cereals with iron added.

Also, eating foods with vitamin C boosts iron absorption. Vitamin C is found in citrus fruits, bell peppers, and tomatoes. Avoid foods that block iron absorption, like tea, coffee, and milk, during meals. Cooking in cast-iron pots, with acidic foods like tomatoes, also helps.

Iron Supplements

For some, just eating more iron isn’t enough. That’s when iron supplements become important. There are many types, but ferrous sulfate is common. The right dose and type depend on how low your iron is and how well you can take it.

It’s important to take the iron as directed and know about possible side effects. Taking iron with vitamin C can help it get absorbed better. Avoiding certain foods and drinks can also lessen side effects.

“Iron supplementation is a critical component of treating iron deficiency, even when diet changes aren’t enough.”

Expert Opinion

Addressing Underlying Causes

Fixing iron deficiency also means finding and fixing the main cause. This might mean managing heavy periods in women, treating stomach problems, or changing diets for certain needs.

  • Women with heavy periods might need hormonal treatments or other gynecological care.
  • People with stomach issues might need special treatments or diets to better absorb iron.
  • It’s important to keep checking and following up to make sure the main problem is fixed and iron levels are going up.

By using a full plan that includes diet changes, iron pills, and fixing the main issue, you can manage and treat iron deficiency well.

Managing Different Types of Anemia

Managing anemia means tailoring treatments to each type and cause. This approach ensures patients get the best care for their needs.

Treatment Based on Anemia Type

Treatment for anemia changes with each type. For example, iron deficiency anemia is treated with iron supplements and diet changes. Anemia from vitamin B12 or folate lack is fixed with the right vitamin.

Vitamin deficiency anemias get fixed with vitamin supplements. Sometimes, changing what you eat is also suggested to get enough vitamins.

When Blood Transfusions Are Necessary

In severe cases, blood transfusions are needed. They quickly raise red blood cell counts and boost oxygen to body parts.

  • Blood transfusions are used in emergencies with acute blood loss.
  • They’re also for patients with severe anemia needing quick red blood cell boost.

Monitoring Treatment Response

After starting anemia treatment, it’s key to monitor the patient’s response. Regular blood tests check for red blood cell and hemoglobin levels.

Monitoring lets doctors tweak treatment plans for better results. It also spots treatment side effects early.

Type of AnemiaCommon Treatment Approaches
Iron Deficiency AnemiaIron supplements, dietary changes
Vitamin Deficiency AnemiaVitamin B12 or folate supplements
Severe AnemiaBlood transfusions

Special Populations and Iron Deficiency Anemia

It’s important to understand iron deficiency anemia in special populations. These groups have unique iron needs or are at higher risk. This is due to their health conditions or lifestyle.

Pregnancy and Iron Requirements

Pregnant women need more iron. Their iron demand doubles to support their blood and the baby’s growth. Not getting enough iron can cause iron deficiency anemia, which is risky for both.

Children and Iron Deficiency

Children are at risk for iron deficiency, mainly during growth spurts. Lack of iron can slow down their development and harm their brain. It’s key to ensure they get enough iron through food or supplements.

Elderly Patients

The elderly are also at risk for iron deficiency anemia. This can be due to poor diet, chronic diseases, or medicines that block iron absorption. Finding and fixing the root cause is vital for managing iron deficiency in this group.

Athletes and Iron Status

Athletes, mainly those in endurance sports, lose more iron. This is because of factors like blood loss, sweat, and stomach bleeding. Keeping an eye on their iron levels and using supplements can prevent iron deficiency anemia and help them perform better.

Prevention Strategies

To prevent iron deficiency, a mix of diet changes, supplements, and screenings is key. These steps help lower the risk of iron deficiency anemia.

Dietary Approaches to Prevent Iron Deficiency

Eating a diet full of iron is essential. Iron-rich foods like red meat, poultry, fish, beans, lentils, and fortified cereals are important. Foods high in vitamin C, like citrus fruits and bell peppers, help your body absorb iron better.

It’s also good to avoid foods that block iron absorption. This includes tea, coffee, and milk when eating iron-rich foods.

Supplements: When and How to Use Them

Iron supplements can help prevent deficiency, mainly for those at high risk like pregnant women. Always talk to a doctor before starting supplements to find the right amount and how long to take them.

Supplements should match the person’s needs, considering age, sex, and health. It’s important to keep an eye on iron levels to avoid too little or too much.

Regular Screening for At-Risk Groups

Screening for iron deficiency is critical for catching it early. At-risk populations, like pregnant women, kids, and people with chronic diseases, should get regular blood tests. This checks their iron levels.

Screening early helps catch problems before they get worse. It prevents severe anemia and its serious side effects.

Conclusion

It’s important to know the difference between anemia and iron deficiency. This article has covered their definitions, causes, symptoms, and how to diagnose them. We’ve seen how knowing the difference helps in treating these conditions.

Iron deficiency and anemia are connected but not the same. Iron deficiency often leads to anemia, but not always. And not everyone with iron deficiency has anemia. It’s vital to understand these differences to treat each condition properly.

To sum up, knowing about anemia and iron deficiency helps doctors give better care. This knowledge leads to better health outcomes. By understanding these conditions, people can get the right treatment, improving their health and well-being.

FAQ

Is anemia the same as iron deficiency?

No, anemia and iron deficiency are not the same. Anemia is when the body doesn’t have enough healthy red blood cells. Iron deficiency is when there’s not enough iron.

What is the medical definition of anemia?

Anemia is when the body doesn’t have enough red blood cells or hemoglobin. This means tissues and organs don’t get enough oxygen.

What are the common types of anemia?

There are several types of anemia. These include iron deficiency anemia, vitamin deficiency anemia, and others like hemolytic anemia and aplastic anemia.

What happens when the body lacks sufficient iron?

Without enough iron, the body can’t make enough hemoglobin. This leads to iron deficiency anemia, affecting red blood cell production.

How does iron function in blood production?

Iron is key for making hemoglobin in red blood cells. Hemoglobin carries oxygen. Without enough iron, the body can’t make enough red blood cells.

What is the difference between hemoglobin and iron?

Hemoglobin is a protein in red blood cells that carries oxygen. Iron is a mineral needed to make hemoglobin. Hemoglobin levels show how much protein is there, while iron levels show how much is available for making hemoglobin.

Can you have anemia without iron deficiency?

Yes, anemia can happen without iron deficiency. Other causes include vitamin deficiencies, chronic diseases, and bone marrow disorders.

What are the symptoms of iron deficiency and anemia?

Symptoms include fatigue, weakness, and pale skin. Shortness of breath and dizziness are also common. Iron deficiency might not show symptoms at first, but they become more obvious as it worsens.

How is iron deficiency diagnosed?

Blood tests measure iron levels and ferritin. A complete blood count (CBC) also checks red blood cell count and hemoglobin levels.

What are the treatment approaches for iron deficiency?

Treatment includes eating more iron-rich foods and taking iron supplements. It also involves addressing issues like blood loss or malabsorption.

How is anemia managed?

Anemia management depends on its cause. It may include supplements, blood transfusions, or treating underlying health issues.

Are there special considerations for iron deficiency anemia in certain populations?

Yes, pregnant women, children, the elderly, and athletes have special needs. They may need more iron due to increased requirements or specific risks.

How can iron deficiency be prevented?

Prevention involves eating enough iron-rich foods and using supplements when needed. Regular screening is also important for at-risk groups.

Is low iron the same as anemia?

No, low iron and anemia are related but different. Iron deficiency can lead to anemia, but not everyone with low iron has anemia, and not all anemia is due to iron deficiency.

What is the difference between iron deficiency and iron deficiency anemia?

Iron deficiency means iron stores are low. If severe, it can lead to iron deficiency anemia, affecting red blood cell production.

Can you have low iron without being anemic?

Yes, it’s possible to have iron deficiency without anemia. This is called non-anemic iron deficiency, where iron stores are low but not enough to cause anemia.

Reference

  1. Johnson-Wimbley, T. D., & Graham, D. Y. (2011). Diagnosis and management of iron deficiency anemia in the 21st century. Therapeutic Advances in Gastroenterology, 4(3), 177“184. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181788/

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