And how can I make them work for me…
Iron is a mineral that plays a key role in supporting red blood cell production and ensuring oxygen transportation throughout the body. It impacts the health of hair, skin, nails, and even cognitive function. Fatigue or weariness is often a result of inadequate oxygen delivery, which can be a direct consequence of low iron levels. In Australia alone, approximately 1 million people suffer from iron deficiency (1).
For those with low iron stores—confirmed by a blood test showing low ferritin and haemoglobin levels—iron supplements or infusions are often the first line of treatment. However, these interventions may not always be effective. If you’ve been taking iron supplements without seeing improvements, several factors could be at play. Let’s explore why iron supplements or infusions might not be working and what you can do about it ...
1. You’re Taking a Form of Iron That’s Not Easily Absorbed
Not all iron supplements are created equal. Ferrous sulphate, the most common form of synthetic iron, can sometimes cause gastrointestinal issues, making it difficult for some people to continue it. Even if you tolerate it, ferrous sulphate may not always be the most efficient form for absorption. Enteric-coated iron supplements, designed to reduce stomach irritation, often suffer from limited absorption due to their coating.
Consider switching to a more easily absorbed form of iron. Options such as ferric pyrophosphate or iron bisglycinate are known for their better absorption rates and lower gastrointestinal side effects. Additionally, heme iron sources—found in organ meats—are highly bioavailable and are now available in capsule form (including in our clinic in Melbourne), providing another effective alternative.
2. Ongoing Heavy Bleeding or Excessive Iron Loss
Heavy menstrual periods are a common issue that leads to low iron. Excessive bleeding
can lead to significant iron loss, complicating efforts to boost iron levels through supplementation alone.
If you experience heavy bleeding, consult with your health practitioner to address the underlying cause and consider treatments that can help manage menstrual flow. Our approach at Freedom Chinese Medicine (in Ivanhoe, Melbourne) is to address heavy menstruation via acupuncture, herbs, lifestyle advice and/or supplements that can reduce bleeding and thus iron loss.
3. Dosage Issues: Too Low or Too High
Iron needs can vary widely among individuals. Taking too little iron might not be sufficient to correct deficiency, while too much iron can lead to adverse effects or even exacerbate certain health conditions. Hepcidin, a hormone that regulates iron absorption and distribution, can also influence how effectively iron is utilized in the body. A study showed that iron supplements at doses of 60 mg or higher increase hepcidin for up to 24 hours and are associated with lower iron absorption on the following day. (2).
Work with your healthcare provider to determine the appropriate dosage of iron supplements based on your specific needs. This may mean a lower dose, or taking your supplement on alternate days. Regular monitoring of your iron levels and adjusting the dosage as necessary can help you achieve the best results.
4. Poor Absorption Issues
Certain conditions, such as Blastocystis infection or celiac disease, can impair the absorption of iron from the gastrointestinal tract. These conditions can make it difficult for supplements to be effective, as the body cannot efficiently use the iron provided.
Hepacidin (mentioned above), also increases in many inflammatory states, adding to the importance of working on underlying inflammation and infection.
It is important to address any underlying health conditions by treating infections or managing celiac disease. This can significantly improve iron absorption and the effectiveness of supplements.
5. Interfering Factors: Medications and Diet
Several factors can hinder iron absorption, including certain medications, caffeine, calcium, turmeric, milk, and raw vegetables. These substances can interfere with the body’s ability to absorb iron from supplements or dietary sources.
To enhance iron absorption, try to take iron supplements away from meals or beverages that contain calcium, caffeine, or other substances that may impede absorption. Additionally, consuming iron-rich foods in conjunction with vitamin C-rich foods can help boost iron absorption.
6. Low Levels of Copper and Vitamin A
Copper and vitamin A play crucial roles in iron metabolism. Low levels of these nutrients can impair your body’s ability to process and use iron effectively.
Ensure your diet includes adequate amounts of copper and vitamin A. Foods rich in copper include nuts, seeds, and shellfish, while vitamin A can be obtained from carrots and sweet potatoes, as well as organ meats.
7. Underlying Medical Conditions
Conditions such as hypothyroidism or thalassemia can impact iron metabolism and make it more difficult for supplements to be effective. These conditions can affect how the body processes and utilizes iron, complicating treatment efforts.
If you have a known medical condition that could affect iron absorption, proper management of underlying health issues is essential for improving iron levels and overall health.
While iron supplements and infusions are commonly prescribed to address iron deficiency, they may not always work as expected due to a variety of factors. By understanding and addressing these potential issues—ranging from the form of iron used to underlying health conditions—you can improve your chances of effectively managing iron deficiency and enhancing your overall well-being.
If you need help navigating your iron levels or general nutritional status, we can help.
Dr. Jessie Fayers and Dr. Leoni Zakarias are both qualified and experienced in Nutritional Medicine.
Click here for more info.
References
Pasricha et al. (2010). Diagnosis and management of iron deficiency anaemia: a clinical update. Medical Journal of Australia, 193(9), 525-532. 2.
Diego Moretti et al. Oral iron supplements increase hepcidin and decrease iron absorption from daily or twice-daily doses in iron-depleted young women. Clinical Trials & Observations
14. Move more – aim for at least a 20-30 minute walk most days of the week – the more you move the better you will feel – both physically and emotionally
If you experience anxiety or stress you may have been recommended to try meditation. But you may not be completely clear on why.
Does meditation help with cravings?
Reiki is a spiritual healing art with its roots coming from Japan. First developed in 1922 by Mikao Usui. Coming from the Japanese word (Rei) which means “Universal” and (Ki) which means Energy. Therefore Reiki can be defined as the Higher Intelligence Life Force that guides the creation and functioning of the universe.
From my professional observations and first hand personal experience, a qigong student begins to learn how to profoundly relax. Their spirit becomes imbued with calmness and they develop a happy demeanor. They begin to develop greater stamina and lust for life as well as sleeping more soundly. This improved health internally natural reflects also externally to the outer body in clear eyes, a smiley disposition, clear skin, shiny hair and improved muscle tone.
David Shepherd