What is the primary treatment for hemochromatosis?

Phlebotomy to remove excess iron is recognized as the primary treatment for hemochromatosis. This condition is characterized by excessive iron accumulation in the body, which can lead to serious health complications such as liver damage, diabetes, and heart problems.

The process of phlebotomy involves periodically removing blood from the body, which in turn reduces the overall iron levels. Since red blood cells contain iron, regularly drawing blood depletes the body's iron stores, helping to manage iron overload effectively.

This treatment approach is supported by clinical evidence showing that regular phlebotomy can prevent or mitigate the complications associated with hemochromatosis. After the initial treatment phase, where more frequent phlebotomies may be necessary, maintenance therapy can involve less frequent blood draws to keep iron levels within a safe range.

In contrast, iron supplementation would exacerbate the condition, as would oral iron chelation therapy, which is not typically the first-line treatment for hemochromatosis. While lifestyle and dietary changes may be beneficial as part of a comprehensive management plan, they are not sufficient on their own to address the iron overload and do not replace the need for phlebotomy in the treatment of this disorder.