Ferrous Facts
You remember iron, from your Science class in high school? Might have gotten maybe 3-4 lines under the Vitamins and Minerals section? You read enough to pass the test and never gave it much thought afterwards. Now your doctor casually mentioned you might be anemic so you stroll to the vitamin section of your health food store to be confronted by a WALL of iron.
Ferrous, ferric, gluconate, sulfate? Who knew there was so much to iron?
Allow me to re-introduce you to Iron.
Iron is a mineral your body uses to help carry oxygen and electrons. In the body, it is either functional or stored. Functional iron is found in red blood cells as hemoglobin or in the muscles as myoglobin. Iron is usually stored as ferritin or hemosiderin in the intestinal mucosa, liver, spleen and bone marrow. Iron is very important for muscle growth, neurological development, cellular functioning and hormone synthesis.
Despite how important iron is to your body, Iron is not produced naturally by the body. Your body depends on your to choose iron-rich foods so that it can absorb iron from your intestinal tract based on your body’s needs. So, where do we get iron? Well, you can sneak it in your food or swallow it in tablet form. Dietary iron is availble in two forms; heme and non-heme iron. Heme iron is found in meat, seafood and poultry, non-heme iron (which I hereby name Veggie Iron) is found in enriched grains, dark green leafy vegetables, figs, raisins, seaweeds. Heme iron is reasonably well absorbed and more bioavailable than non heme iron.
Iron supplements are needed when there is an iron deficiancy (inadequate diet or malabsorption) or when there are increasded demands (menustration, pregnancy, injury). Early symptoms of iron deficiancy (anemia) are usually vague but you can easily check your symptoms at home. Look in a mirror and pull your lower eye-lid down. The inside of your eye-lid should be dark pink or red; a light pink or pale color usually indicates an iron deficiancy. Pay attention too if you find yourself easily fatigued. Sometimes your nails might appear to split or spoon shaped (with a depression large enough to hold a drop of water).
Supplemental iron is usually available as ferrous or ferric salts. Ferrous salts are 3 times better absorbed than ferric salts. All iron products tend to irritate the gastro-intestinal mucosa and may result in nausea, abdominal pain, constipation and (less frequently) diarrhea.
To reduce these side effects, you may choose supplements with carbonyl iron, iron polypeptides, iron amino acid chelates or polysaccharide iron complexes. Because constipation is a popular side effect of iron treatment, there are some formulations out now that also contain a stool softener.
I’m purposefully not supplying examples of such products ‘cos I want to encourage you to read the label.
Most doctors treating iron deficiency will aim for a maximum of 36-48mg of ELEMENTAL IRON daily. Different formulations of iron contain different amounts of elemental iron of which your body will only absorb about 20%.
Iron absorbs better in an acidic medium so while you may take your supplement with orange juice, grapefruit juice, tomato juice or an empty stomach; avoid milk, eggs or cereal.
Iron can be toxic and unfortunately, children may get attracted to the sugar coated, colorful coatings of the iron tablets and ingest them leading to accidental poisoning. Symptoms of acute poisoning are abdominal pain, vomitting, diarrhea. Iron poisoning is a medical emergency and treatment may begin by calling the Poison Control Center at 1-800-222-1222 or rushing to the nearest emergency department with the pill bottle in hand.
I know. You’re still staring at the wall, wondering which product to choose. Here, try that small bottle of ferrous sulfate you can afford. Go home, throw some beets, pineapples, blueberries and almond milk together into a smoothie and re-make your menu thinking about how to incorporate this most essential mineral into your diet.
Everything that lives and moves about will be food for you. Just as I gave you green plants, I now give you everything. – Genesis 9:3 NIV
About The Writer:
Nana Adowa Bekoe is a praying wife, grateful daughter and a believer of miracles. As a pharmacist, she advises patients and other healthcare professionals on the safe and effective use of medications.
Born and raised in Accra, Ghana; Adowa gained her Doctor of Pharmacy degree from the Philadelphia College of Pharmacy. She is a second generation pharmacist and she is grateful for the life she has and loves to laugh (especially at herself).
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