For best absorption of your iron supplement >on empty stomach >with vitamin C >away from PPI/acid reflux meds >take daily or every other day >no benefit to elemental* doses above 100mg *your supplement may be higher than this but need to look specifically at elemental iron content - ThreadSky

shematologist.medsky.social • 82 days ago

For best absorption of your iron supplement

>on empty stomach
>with vitamin C
>away from PPI/acid reflux meds
>take daily or every other day
>no benefit to elemental* doses above 100mg

*your supplement may be higher than this but need to look specifically at elemental iron content

Comments

bmaughan.bsky.social•82 days ago

Opinions on carbonyl iron?

sy5temfire.bsky.social•82 days ago

Can you explain the differences between all the kinds? Gluconate is the only one that really works for me.

juliebray.bsky.social•82 days ago

What about HEME iron pills? They are the only ones I can tolerate, but do they work?

shematologist.medsky.social•82 days ago

Yes, they should!

stealthysteph.bsky.social•82 days ago

📌

midwest-woman70.bsky.social•82 days ago

Is iron an issue for menopausal women?

shematologist.medsky.social•82 days ago

It can be

girlinthewild.bsky.social•82 days ago

Why?

hhs-worm-in-charge.bsky.social•82 days ago

And with no Ancylostoma duodenale or Necator americanus in the vicinity.

drdrmaya.bsky.social•82 days ago

Thanks to you my tween is now on iron 💙

drjoe2003.bsky.social•82 days ago

I generally like the every other day approach. People like the break, once they are able to remember to do it that way.

rickkeller.bsky.social•82 days ago

Thank you Doctor, as always.

Question: what are your thoughts on transdermal iron delivery systems? Is this a viable alternative to PO iron replacement?

shematologist.medsky.social•82 days ago

I’ve never seen any evidence that iron is absorbed this way

eeeking.bsky.social•82 days ago

Don’t you have to take apart from other meds like SSRI’s too? Or is that incorrect?

sinisternails1.bsky.social•82 days ago

Longterm(10+ yrs) omeprazole use was keeping my absorption low apparently.

sheologian.bsky.social•82 days ago

The only ones I can take without feeling really really sick are the mini blood builders

nathanhatch.bsky.social•82 days ago

"Co-supplementation of ferrous salts with vitamin C exacerbates oxidative stress in the gastrointestinal tract leading to ulceration in healthy individuals." https://pmc.ncbi.nlm.nih.gov/articles/PMC340385/

nathanhatch.bsky.social•82 days ago

The reason this occurs is due to the increased formation of hydroxyl radical due to reduced iron reacting with hydrogen peroxide. Nobody should be on iron supplements, they're so toxic. Iron dysregulation is a problem with poor vitamin A and D status which increases hepcidin levels.

figment2.bsky.social•82 days ago

A chelated iron correct? Say gluconate?

greenforestcottage.bsky.social•82 days ago

My daughter’s celiac specialist says to take iron Every Day That Starts With T and S 😃
Great little memory trick for spacing out doses, really helped us!

greenforestcottage.bsky.social•82 days ago

Interesting… my daughter’s Celiac specialist told us on full stomach to avoid pain. She’s had more than her fair share of belly pains, so not keen to set her up more.
What’s the idea for empty stomach, do common foods/drinks reduce absorption?
Thanks for doing what you do!

shematologist.medsky.social•82 days ago

Yes many common foods and beverages inhibit absorption

qlarity.bsky.social•82 days ago

Away from calcium as well?

shematologist.medsky.social•82 days ago

Yup

serenestyxian.bsky.social•82 days ago

I didn’t know this. I typically take a magnesium, zinc, and calcium pill before my iron pills. I’ll definitely try to space them out more

megannoelmouse.bsky.social•82 days ago

This gets a screenshot.

ljjlinda.bsky.social•82 days ago

11% of the RDA in a tablespoonful of semi-sweet chocolate chips. Just sayin’

jiggy-g.bsky.social•82 days ago

The beginig of ironcal.

a-better-world2.bsky.social•82 days ago

I treasure your knowledge so much. I'm anemic and my dr isn't slightly concerned. If I could ask, how much vitamin c and how long until it's advisable to take other vitamins/meds? Thank you SO much!!

shematologist.medsky.social•81 days ago

Studies have looked at 100mg and 200mg so anywhere in that range. Usually should separate by at least 1-2 hours

a-better-world2.bsky.social•81 days ago

Thank you so very very much!!!

garyandover.bsky.social•82 days ago

Thanks for the advice. I am slightly anemic so my PCP told me to take an iron supplement but I had no idea what, when or how much Thanks!

mcmooney2017.bsky.social•82 days ago

I love these posts!! You have change how I approach iron in my patients. Thank you.

emilyrose.bsky.social•82 days ago

I keep forgetting the vitamin C. And I take it at the same time as a PPI. Like literally the same swallow, usually. I take all my meds at once. It’s the only way I remember to take them. I figure taking it with the PPI but never missing a day is probably better than only taking it like once a week.

markrap.bsky.social•82 days ago

Any difference between tonic and pills?

Besides acid reflux medication/ antacids

Are there other drugs to avoid

Does iron decrease the absorption of other drugs?

Comments

Posting Rules

Reply