Understanding and Addressing Iron Deficiency Anemia

Iron plays a crucial role in various bodily functions and a deficiency in this essential mineral can lead to a range of health issues. In this article, we will explore the ten signs of low iron, delve into what iron deficiency anemia is and discuss the worst foods for iron deficiency anemia. We will also explore treatment options, including the use of Accrufer® (ferric maltol). ACCRUFeR is an FDA-approved oral iron that's both tolerable and effective, while traditional oral irons can make most patients feel worse, not better.

10 Signs of Low Iron

1. Fatigue and Weakness

Feeling constantly tired and weak is one of the most common signs of low iron. Iron is essential for producing red blood cells, which carry oxygen throughout the body. Low iron means less oxygen is transported, leading to fatigue and weakness.

2. Pale Skin

Iron deficiency affects the production of red blood cells, resulting in less blood being circulated. This can lead to pale or unusually fair skin, often noticed on the face, lips and nail beds.

3. Shortness of Breath

When the body lacks iron, it struggles to deliver enough oxygen to the body's organs and tissues. This oxygen deprivation can result in shortness of breath, even during mild physical activity.

4. Hair Loss

Iron is crucial for maintaining healthy hair growth. Low iron levels can disrupt the hair growth cycle, leading to hair loss or thinning.

5. Cold Hands and Feet

Insufficient iron can affect blood circulation, causing cold hands and feet. Poor circulation limits the supply of oxygen and nutrients to the extremities, leading to cold sensations.

6. Compromised Immune System

Iron plays a vital role in maintaining a healthy immune system. When iron levels are low, the immune system becomes compromised, making individuals more prone to infections and illnesses.


7. Difficulty Concentrating

Lack of iron affects brain function and cognitive abilities. Low iron levels can lead to difficulty concentrating, decreased alertness, and poor memory.

8. Restless Leg Syndrome

Restless Leg Syndrome (RLS) is a condition characterized by uncomfortable sensations in the legs, which often worsen at rest. Low iron levels are a contributing factor to this condition.

9. Brittle Nails

Iron deficiency can cause brittle and weak nails that are prone to cracking, peeling or splitting. Healthy blood cells contribute to proper nail growth and strength.

10. Unusual Cravings

One peculiar sign of low iron is experiencing unusual cravings such as ice, dirt or starch. This condition, known as pica, is thought to occur due to iron deficiency disrupting the body's nutrient absorption.

Iron Deficiency Anemia

Iron deficiency anemia is a condition characterized by a lack of iron in the body, leading to a decrease in the production of healthy red blood cells and hemoglobin. Hemoglobin is a protein responsible for transporting oxygen from the lungs to other parts of the body. When the production of red blood cells and hemoglobin is compromised, the body suffers oxygen deprivation.

The Worst Foods for Iron Deficiency Anemia

It is best to avoid or limit consumption of the following foods if you are dealing with iron deficiency anemia.

  • Tea and Coffee: Beverages like tea and coffee contain compounds, such as tannins, that inhibit iron absorption. It is advised to avoid consuming these drinks with or immediately after a meal.
  • Processed Foods: Processed foods often lack the nutrients required for optimal health, including iron. Additionally, they may contain substances that hinder iron absorption or contribute to inflammation, negatively impacting iron levels.
  • High Calcium Foods: Foods rich in calcium, like dairy products, can interfere with iron absorption when consumed together. It is advisable to separate iron-rich foods from high-calcium foods to maximize iron absorption.
  • Whole Grains and Legumes: Although whole grains and legumes are considered nutritious, they contain compounds known as phytates that can bind to iron, hindering its absorption. Proper cooking and processing techniques can reduce the impact of these compounds.
  • Soy Products: Soy products can contain substances called phytates and oxalates, which can impede the absorption of iron. For individuals with low iron levels, it is best to consume soy products in moderation.

Treatment Options for Iron Deficiency Anemia

When diagnosed with iron deficiency anemia, various treatment options are available to restore iron levels and improve overall health. These options may include:

  • Iron Supplements: Iron supplementation is the most common treatment for iron deficiency anemia. Iron supplements come in different forms and should be taken as directed by a healthcare professional.
  • Dietary Modifications: Making dietary changes to include iron-rich foods is crucial for managing iron deficiency anemia. A balanced diet that focuses on iron-rich sources can help restore iron levels over time.
  • Vitamin C Consumption: Consuming foods high in vitamin C, such as citrus fruits, strawberries and bell peppers, can enhance the absorption of non-heme iron, which is found in plant-based foods.
  • Cooking Techniques: Proper cooking techniques can enhance iron absorption while reducing compounds that hinder absorption. Soaking and rinsing grains and legumes and using cast-iron cookware can improve iron bioavailability.
  • Accrufer®: Accrufer® (Ferric Maltol) is a prescription iron supplement with a unique iron formulation that maximizes iron absorption while minimizing side effects. It works by releasing iron and allowing for its absorption in the gut.

Final Notes

Recognizing the signs of low iron is crucial for early intervention and prevention of complications associated with iron deficiency anemia. If you suspect you have low iron levels, consult with a healthcare professional for proper diagnosis and guidance on the most suitable treatment plan for your individual needs.

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