Tea Time: Iron Deficiency Anemia

  • Symptoms
    • Fatigue
    • Shortness of breath
    • Brittle nails
    • Pale skin
    • Swelling of the tongue
    • Cold intolerance
    • Trouble concentrating
    • Dizziness
    • Pica
  • Tests used to dx
    • CBC
      • RBC, Hgb, Hct, MCV
    • Iron (might not be low)
    • Ferritin (stored iron)
    • Reticulocyte count (very young RBCs)
  • Contributing factors
    • GI bleeding
    • Von Willebrand syndrome
    • Hemophilia
    • Frequent blood donation
    • Inflammation
  • Vulnerable populations
    • Infants age 7-12 months (stores from birth are depleted)
    • Toddlers, especially if they drink a lot of milk
    • Teens, who have increased needs
    • Older adults, who have decreased intake
    • Children with high lead levels
    • Vegetarians/vegans
    • Endurance athletes
    • Women with heavy periods
    • Pregnant/breastfeeding women
    • Picky eaters
  • RDA
    • 7-12 mo: 11mg
    • 1-3yo: 7mg
    • 4-8yo: 10mg
    • 9-13yo: 8mg
    • 14-18yo: 11mg (boys), 15mg (girls)
    • 19-50yo: 8mg(men), 18mg (women)
    • Pregnant: 27mg
    • BF teen: 10mg, BF adult: 9mg
    • 51+: 8mg
  • Types/sources of iron
    • Heme iron
      • Meats (beef, chicken, turkey)
      • Salmon
      • Eggs
    • Non-Heme Iron
      • Beans, peas, lentils (1.5-8.8mg per cup)
      • Dried fruit (1.5mg per 1/2c)
      • Dark leafy greens (3.2mg per 1/2c boiled)
      • Tofu (3.4mg per 1/2c)
      • Nuts
      • Blackstrap molasses (3.5mg per tbsp!
      • Fortified cereals and breads (1-18mg; 10mg per 1cup fortified oatmeal)
  • Supplements
    • Only if diagnosed and recommended by MD
    • May be necessary to replenish stores
    • It can take 3-6 months to replenish
    • Side effects
      • Metallic taste
      • Vomiting
      • Diarrhea
      • Constipation
      • Upset stomach
    • Take with food
    • Lower dose
    • Time-release
    • Take with vitamin C
    • Avoid taking with calcium
    • Avoid black tea

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