Table of contents
- Several items clipped from web
- Iron Supplement in WikiPedia
- Click here for more on HIP Iron at VitaminDWiki
- A Patient’s Guide to Oral Iron Supplements Anemia.org 2008
- Iron deficiency without anemia - a clinical challenge - April 2018
- Non-daily ferrous sulphate appears to be better than daily - July 2020
- Amazon Top rated Iron
- Consumer Labs review of Iron supplements Subscription and free 5 day trial
- Iron supplements for fatigue Science-Based Medicine
- Enhancers of iron absorption: ascorbic acid and other organic acids. PubMed 2005
- Ferrochel better ferrous sulfate during pregnancy PubMed 2001
- Suppression of Iron-Regulatory Hepcidin by Vitamin D.
- See also VitaminDWiki
- See also web
- See also Hepcidin
- How Much per person
- Iron Deficiency symptoms
- Iron Deficiency estimated by Smartphone photos - Nov 2018
- Anemia while pregnant
- Mercola May 2017
- Iron: Not too much and not too little - Mercola Aug 2020
- Vitamin D pages containing "anemia" in title
- Ferrus sulfate is the most common, lowest cost, and worst form of supplementation
- Heme iron polypeptide appears to be 23X better than Ferrous fumarate
- Ferrochel better in many ways than ferrous sulfate
Iron can be supplemented by the oral route using various pharmacological forms, such as iron(II) sulfate (this is the most common and cheapest salt, e.g. Feratab, Fer-Iron, Slow-FE,…) and in complex with gluconate, dextran, carbonyl iron, and other salts. Sometimes ascorbic acid is added for better absorption.
Heme iron polypeptide (HIP) (e.g. Proferrin ES and Proferrin Forte) can be used when regular iron supplements such as ferrous sulfate or ferrous fumarate are not tolerated or absorbed. A clinical study demonstrated that HIP increased serum iron levels 23 times greater than ferrous fumarate on a milligram-per-milligram basis. Click here for details or studies and purchase also patented
Another alternative is ferrous glycine sulfate or ferroglycine sulfate, has less gastrointestinal side-effects than standard preparations such as iron fumarate, It is unusual among oral preparations of iron supplements in that the iron in this preparation has very high oral bio-availability esp in the liquid version (e.g. Hemfer by Alkem).This option should be evaluated before resorting to parenteral therapy. It is especially useful in iron deficiency anemia associated with autoimmune gastritis and Helicobacter pylori gastritis, where it generally has satisfactory effect.
Since iron stores in the body are generally depleted, and there is a limit to what the body can process (about 2–6 mg/kg of body mass per day; i.e. for a 100 kg/220 lb man this is equal to a maximum dose of 200–600 mg/per day) without iron poisoning, this is a chronic therapy which may take 3–6 months.
Due to the frequent intolerance of oral iron and the slow improvement, parenteral iron is recommended in many indications
Click here for more on HIP Iron at VitaminDWiki
A Patient’s Guide to Oral Iron Supplements Anemia.org 2008
|Iron Supplement||Tablet Size||Elemental Iron|
|Ferrous fumarate||325 mg||108 mg|
|Ferrous sulfate||325 mg||65 mg|
|Ferrous gluconate||325 mg||35 mg|
- Adults will usually require a dose of 60-200 mg of elemental iron daily, depending on the severity of the anemia.2
Since the amount of iron absorbed decreases as doses get larger, most people should take their daily iron supplement in two or three equally spaced doses.
- Iron supplements are available in regular tablets and capsules, liquid, drops, and coated or extended-release tablets and capsules.
Does not seem to consider HIP Iron
Download the PDF from VitaminDWiki
Comparison of the effects of oral iron treatment every day and every other day in female patients with iron deficiency anaemia
https://doi.org/10.1111/imj.14766 $14 paywall
Methods: For a month,
- Group I received 270 mg ferrous sulphate twice a day (total elemental iron dose: 160 mg/day),
- Group II received 270 mg ferrous sulphate once a day (total elemental iron dose: 80 mg/day), and
- Group III received 270 mg ferrous sulphate every other day (total elemental iron dose: 80 mg/every other day).
Intragroup and intergroup statistical analyses were carried out.
Results: Haemoglobin (Hb) increased significantly in all three groups (P = 0.00). The increase in Hb levels was similar among the groups (P = 0.09). Ferritin significantly increased in all three groups after the treatment (P = 0.00). The increase in ferritin in Group I was significantly higher than those in Groups II and III (P < 0.05). Gastrointestinal tract (GIS) side effects were also significantly higher in Group I in comparison to the others (P = 0.001).
Conclusions: A low-dosage of iron treatment every other day may be used in the place of providing iron once or twice every day with similar effectiveness and lower rates of GIS side effects.
- Heme-iron polypeptide (HIP) apprears to be better absorbed and tolerated than ferrus sulfate
- polysaccharide-iron complex (PIC) is tolerated better than sulfate
- Iron protein succinylate nicely just dissolved in the intestine, rather than the stomach – less gastric irritation and more iron into the blood (LEF sells it)
Consumer Labs review of Iron supplements Subscription and free 5 day trial
- cost of 25 mg varied from 2 cents to $2.00 (Floradex with Herbs)
- Updated review May 2021
Iron supplements for fatigue Science-Based Medicine
- Comment by one person: Vitamin C – its role in aiding iron absorption is with dietary iron, not as useful for iron supplements.
- lots of excellent information in the abstract
- 2X more taken the treatment adequately
- 2X fewer still had Iron deficiency
- none of Ferrochel patients had taste problems vs 29% of ferrous sulfate
- Ferrochel had only 15 mg of Iron vs ferrous sulfate had 40 mg of Iron
J Am Soc Nephrol. 2013 Nov 7. [Epub ahead of print]
Bacchetta J, Zaritsky JJ, Sea JL, Chun RF, Lisse TS, Zavala K, Nayak A, Wesseling-Perry K, Westerman M, Hollis BW, Salusky IB, Hewison M.
Department of Orthopaedic Surgery, UCLA Orthopaedic Hospital, and.
The antibacterial protein hepcidin regulates the absorption, tissue distribution, and extracellular concentration of iron by suppressing ferroportin-mediated export of cellular iron. In CKD, elevated hepcidin and vitamin D deficiency are associated with anemia. Therefore, we explored a possible role for vitamin D in iron homeostasis. Treatment of cultured hepatocytes or monocytes with prohormone 25-hydroxyvitamin D or active 1,25-dihydroxyvitamin D decreased expression of hepcidin mRNA by 0.5-fold, contrasting the stimulatory effect of 25-hydroxyvitamin D or 1,25-dihydroxyvitamin D on related antibacterial proteins such as cathelicidin. Promoter-reporter and chromatin immunoprecipitation analyses indicated that direct transcriptional suppression of hepcidin gene (HAMP) expression mediated by 1,25-dihydroxyvitamin D binding to the vitamin D receptor caused the decrease in hepcidin mRNA levels. Suppression of HAMP expression was associated with a concomitant increase in expression of the cellular target for hepcidin, ferroportin protein, and decreased expression of the intracellular iron marker ferritin. In a pilot study with healthy volunteers, supplementation with a single oral dose of vitamin D (100,000 IU vitamin D2) increased serum levels of 25D-hydroxyvitamin D from 27±2 ng/ml before supplementation to 44±3 ng/ml after supplementation (P<0.001). This response was associated with a 34% decrease in circulating levels of hepcidin within 24 hours of vitamin D supplementation (P<0.05).
These data show that vitamin D is a potent regulator of the hepcidin-ferroportin axis in humans and highlight a potential new strategy for the management of anemia in patients with low vitamin D and/or CKD.
Hepcidin is a peptide hormone produced by the liver.
It was discovered in 2000, and appears to be the master regulator of iron homeostasis in humans and other mammals
- Iron deficiency is a cause of Vitamin D deficiency also reviews other forms of Iron
- Anemia 1.9X more likely in white children having lowish vitamin D – Jan 2014
- Iron and Vitamin D deficiencies are synergistic - April 2015
- Iron supplementation with much less nausea (Polysaccharide and heme forms) – Jan 2016
- Anemia in pregnant teens 7X more likely if low vitamin D – April 2015
- All items in category Iron and Vitamin D
Diseases associated with
Low iron (menstruating) High iron (males) Anemia Anemia of chronic disease Fibromyalgia Premature aging Inflammatory bowel disease Atherosclerosis Hypothyroidism Anorexia Depression / anxiety Grave's disease Attention deficit hyperactivity disorder Heart arrhythmia Parkinson's disease Cancer Neurodegenerative conditions Sideroblastic anemia Celiac disease Nonalcoholic fatty liver disease (NAFLD).
Excess dietary fructose is a primary initiator of NAFLD,
but high iron is another culprit that triggers disease progression
Restless leg syndrome Liver damage and liver disease Hair loss Still's disease Muscle weakness, decline in motor skills Hemochromatosis Mental changes and memory loss Hemophagocytic syndrome
- Serum Ferritin and GGT — Two Potent Health Indicators You Need to Know Sept 2017
"Iron Overload Is More Common Than Iron Deficiency"
"In recent years, scientists have discovered GGT is highly interactive with iron, and when both your serum ferritin and GGT are high, you are at significantly increased risk of chronic health problems, because then you have a combination of free iron, which is highly toxic, and iron storage to keep that toxicity going"
- *Real World Efficacy and Tolerability... - 2018
- Heme iron polypeptide for the management of anaemia of chronic kidney disease - Aug 2015 PDF
- The Association between Iron and Vitamin D Status in Female Elite Athletes Jan 2018
- Those deficient in Iron were 1.75 X at higher risk of also being deficient in Vitamin D, free PDF online
- Feosol Amazon - appears to be the lowest cost
- 6 mg of Hemi + 22mg PIC (regular) $16 for 30 caplets - similar to other Iron supplement may cause intestinal problems
- Proferrin has a great discount sample offer as of Aug 2013: $10 for 14 tablets of 12 mg
- 23X more bio-available than ferrous fumarate
- US National Institute of Health - Iron snips as of April 2015
- Dietary iron has two main forms: heme and nonheme
- Recommended Dietary Allowances for Iron (just infant and middle age)
- Heme Iron Dr. Greger 10 videos
- Comcerned about long-term supplementation
- "Once ingested and absorbed, the body has no mechanism to remove excess iron"
- Iron and vitamin D deficiency in children living in Western-Europe Oct 2017
PHD dissertation, full text online
"Secondly, we describe prevalence rates of ID and VDD in healthy young children, moderately preterm infants, and in children with inflammatory bowel disease or diabetes type 1."
"Furthermore, we also describe associations with ID and VDD that clinicians can use to detect patients at risk for deficiency."
- VITAMIN D AND IRON, THE CONNECTION YOU NEVER KNEW ABOUT April 2017
Kerri Knox April 2017 "VITAMIN D AND IRON ARE COFACTORS OF EACH OTHER, Case in point is our discussion here. Interestingly, the relationship between Vitamin D and Iron possibly runs both ways, as the research suggests that each are cofactors for each other. If you don’t have enough vitamin D, you can’t absorb iron properly; if you don’t have enough iron, you can’t have adequate vitamin D levels."
- Suppression of Iron-Regulatory Hepcidin by Vitamin D Nov 2013
Free PDF on-line with many charts. 100,000 IU of vitamin D2 decreased Hepcidin level by 34% in 24 hours
- The role of vitamin D in regulating the iron-hepcidin-ferroportin axis in monocytes March 2014
"Chronic kidney disease affects 40% of adults aged 65 and older. Anemia of CKD is present in 30% of patients with CKD and is associated with increased cardiovascular risk, decreased quality of life, and increased mortality. Hepcidin-25 (hepcidin), the key iron regulating hormone, prevents iron egress from macrophages and thus prevents normal recycling of the iron needed to support erythropoiesis. Hepcidin levels are increased in adults and children with CKD. Vitamin D insufficiency is highly prevalent in CKD and is associated with erythropoietin hyporesponsiveness. Recently, hepcidin levels were found to be inversely correlated with vitamin D status in CKD. " Free PDF online
- Molecular study of hepcidin in chronic hepatitis C genotype 4 patients treated with pegylated interferon/ribavirin with vitamin D 2016
2,000 IU Vitamin D daily ( a small amount), PDF online, does not seem to indicate % of non-responders
- High-dose vitamin D3 reduces circulating hepcidin concentrations: A pilot, randomized, double-blind, placebo-controlled trial in healthy adults Aug 2017
- 250,000 IU of vitamin D significantly reduced hepcidin in 1 week.
-  Download the PDF from VitaminDWiki
- Search VitaminDWiki for hepcidin 106 items as of July 2020
- Search VitaminDWiki for ANEMIA 1470 items as of July 2020
- Search VitaminDWiki for ANEMIA & AFRICAN-AMERICAN 211 items as of Julu 2020
- Overview Sickle Cell and Vitamin D
- Low vitamin D - anemia 2.2X more likely (no surprise) – meta-analysis Aug 2015
- Sickle Cell children need more than 7,000 IU of vitamin D daily – May 2015 - adding Iron would probably help
Age Male Female Pregnancy Lactation Birth to 6 months 0.27 mg 0.27 mg 19–50 years 8 mg 18 mg 27 mg 9 mg
The only difference between chlorophyll and hemoglobin is
Magnesium vs Iron in the center
Smartphone app for non-invasive detection of anemia using only patient-sourced photos
This appears to be the 3rd smartphone application to detect anemia
Did not notice if any of these are ready to be used by the general public
Doubt that this, and similar tests which eliminate use of doctors, has been accepted by the FDA
Why Managing Your Iron Level Is Crucial to Your Health Mercola May 2017
- Not too much or too little. includes interview and transcript
"I believe it can be every bit as dangerous to your health as vitamin D deficiency." Mercola
- Videos discussing the importance of many blood tests, including Ferretin (Iron) Sept 2018
Test annually to confirm that you do not have too little or too much
- "... an excessive amount of iron is more common than having a deficiency."
- "In one study, researchers estimated 40% to 70% of people with the defective genes will eventually have iron overload."
Items found: 15This page is in the following categories (# of items in each category)Overviews
76 Vitamin D and Iron 57
ID Name Comment Uploaded Size Downloads 16002 Iron April 2018.pdf PDF 2018 admin 29 Jul, 2021 21:25 485.51 Kb 3 15874 Heme iron polypeptide for the management of anaemia of chronic kidney disease.pdf PDF 2018 admin 06 Jul, 2021 10:55 482.86 Kb 20 14105 D and hepcidin RCT 2016.pdf admin 01 Aug, 2020 11:07 817.11 Kb 267 11108 Anemia while pregnant.jpg admin 29 Dec, 2018 14:59 40.84 Kb 3073 10974 Anemia graph.jpg admin 04 Dec, 2018 16:54 36.20 Kb 3641 10973 Anemia diagnostics.jpg admin 04 Dec, 2018 16:54 37.87 Kb 3803 10972 Anemia b.jpg admin 04 Dec, 2018 16:53 44.56 Kb 8420 10971 Anemia a.jpg admin 04 Dec, 2018 16:53 26.24 Kb 3733 10970 Anemia level deteceted by smartphone photo-compressed.pdf PDF 2018 admin 04 Dec, 2018 16:52 382.56 Kb 624 9450 Iron Deficiency top 10.jpg admin 06 Mar, 2018 11:18 51.76 Kb 5029 8067 iron-deficiency-and-vitamin-d.jpg admin 05 Jun, 2017 11:29 25.05 Kb 6730 8066 Supp with Vit D, increase Hepcidine.jpg admin 05 Jun, 2017 11:13 30.26 Kb 5445
- Serum Ferritin and GGT — Two Potent Health Indicators You Need to Know Sept 2017