Physician-Supervised Iron Infusions
Iron infusion program
Physician-directed intravenous iron therapy for patients with iron deficiency who cannot tolerate or absorb oral iron, or who need more rapid repletion. Evaluated, dosed, and monitored by Dr. Misra at our Los Angeles office — now accepting physician and self-referrals.
- From $999 physician-directed infusion programs
- Physician-directed evaluation, orders & follow-up
- Los Angeles in-office IV therapy
- Referral-based physician or self-referral
Iron deficiency is common — and often overlooked
Iron deficiency is incredibly common yet frequently overlooked, underdiagnosed, or misinterpreted. Many women and men have depleted iron stores from heavy menstrual bleeding, pregnancy, blood donation, gastrointestinal disorders, prior surgery, inadequate dietary intake, poor absorption, endurance athletics, or other medical conditions.
Others simply cannot tolerate oral iron because of constipation, nausea, or abdominal pain — and some patients medically benefit from more rapid iron repletion. Persistent fatigue, restless legs, exercise intolerance, hair loss, or brain fog can all be related to low iron, yet many patients wait months to be seen. This program is designed to educate patients and provide physician-directed treatment based on medical necessity.
Symptoms that can point to low iron
These are common but non-specific. A proper evaluation and recent labs confirm whether iron deficiency is the cause.
Persistent fatigue
Tiredness that does not resolve with rest.
Restless legs
An urge to move the legs, often worse at night.
Exercise intolerance
Getting winded or drained more easily than expected.
Hair loss
Increased shedding or thinning tied to low iron stores.
Brain fog
Difficulty concentrating or a sense of mental cloudiness.
Can't tolerate oral iron
Constipation, nausea, or abdominal pain from pills.
What the initial consultation includes
Referral & records review
Review of your referral records and prior laboratory studies, with additional lab orders if needed.
Medical evaluation
A physician evaluation to confirm you are an appropriate candidate for intravenous iron.
Iron deficit calculation
Your iron deficit is calculated to guide the right dose and program.
Physician orders & follow-up
Treatment recommendations, physician-written treatment orders, and follow-up recommendations sent to your referring physician.
Pricing
Initial physician consultation
A physician consultation is required before treatment. Consultation pricing depends on how you are referred. The consultation is separate from the treatment programs below.
Consultation
- Outside physician referral or self-referral $350
- Direct Primary Care physician referral $149
- Current Misra Wellness DPC patients — consultation included Included
Pricing
Treatment programs
Three physician-directed treatment options, chosen with you based on your calculated iron deficit and medical needs. Treatment packages do not include the initial physician consultation.
Essential Iron Program
Five physician-directed iron infusions.
- Complete iron replacement
- Most cost-effective plan
- Physician-directed dosing & monitoring
Accelerated Iron Program
Higher-dose physician-directed iron sucrose protocol when medically appropriate.
- Fewer office visits
- Cost-conscious
- Physician-directed dosing & monitoring
Rapid Iron Program
One or two treatment visits, depending on your calculated iron deficit and FDA-approved dosing.
- Fewest visits possible
- Greatest convenience
- Physician-directed dosing & monitoring
Important information
- Laboratory testing is billed separately if additional testing is required.
- Treatment packages do not include the initial physician consultation.
- Not all patients are candidates for intravenous iron — for example, people with certain chronic heart conditions or chronic kidney disease.
- Recent laboratory studies and a physician evaluation are required before treatment.
- Patients return to their referring physician after completing treatment.
Misra Wellness is cash-pay only and does not bill insurance or provide superbills. All treatment is individualized, physician-directed, and based on medical necessity.
Iron infusion: common questions
Do I need a referral?
You can come by physician referral or self-referral. A physician consultation and recent laboratory studies are required before treatment so Dr. Misra can confirm you are an appropriate candidate and calculate your iron deficit.
How much does the program cost?
The initial physician consultation is $350 for an outside or self-referral, $149 with a Direct Primary Care physician referral, and included for current Misra Wellness DPC patients. Treatment programs start at $999 (Essential), $1,499 (Accelerated), and $4,999 (Rapid) and do not include the consultation. Additional laboratory testing, if needed, is billed separately.
Is everyone a candidate for IV iron?
No. Intravenous iron is not appropriate for everyone — for example, people with certain chronic heart conditions or chronic kidney disease. Candidacy is determined during your physician evaluation.
Does insurance cover this?
No. Misra Wellness is cash-pay only and does not bill insurance or provide superbills.
What happens after treatment?
You return to your referring physician after completing treatment, and follow-up recommendations are sent to them.
Ask whether iron infusions are right for you
Send a referral or self-referral inquiry through the contact form and Dr. Misra's team will follow up.