1. Abstract
1.1. Background and Aims In 2020, the American Gastroenterological Association (AGA) published guidelines for the gastrointestinal evaluation of asymp tomatic iron deficiency anemia (IDA), strongly recommending bi directional endoscopy for post-menopausal women and men, with a conditional recommendation for pre-menopausal women. This study evaluated adherence to these guidelines in an academic out patient primary care setting.