Iron

Encyclopedia of Alternative Medicine by Paula Ford-Martin

Iron is a mineral that the human body uses to produce the red blood cells (hemoglobin) that carry oxygen throughout the body. It is also stored in myoglobin, an oxygen-carrying protein in the muscles that fuels cell growth.

Iron is abundant in red meats, vegetables, and other foods, and a well-balanced diet can usually provide an adequate supply of the mineral. But when there is insufficient iron from dietary sources, or as a result of blood loss in the body, the amount of hemoglobin in the bloodstream is reduced and oxygen cannot be efficiently transported to tissues and organs throughout the body. The resulting condition is known as iron-deficiency anemia, and is characterized by fatigue, shortness of breath, pale skin, concentration problems, dizziness, a weakened immune system, and energy loss.

Iron-deficiency anemia can be caused by a number of factors, including poor diet, heavy menstrual cycles, pregnancy, kidney disease, burns, and gastrointestinal disorders. Individuals with iron-deficiency anemia should always undergo a thorough evaluation by a physician to determine the cause.

Children two years old and under also need adequate iron in their diets to promote proper mental and physical development. Children under two who are not breastfeeding should eat iron-fortified formulas and cereals. Women who breastfeed need at least 15 mg of dietary or supplementary iron a day in order to pass along adequate amounts of the mineral to their child in breast milk. Parents should consult a pediatrician or other healthcare professional for guidance on iron supplementation in children.

It has been theorized that excess stored iron can lead to atherosclerosis and ischemic heart disease . Phlebotomy, or blood removal, has been used to reduce stored iron in patients with iron overload with some success. Iron chelation with drugs such as desferrioxamine (Desferal) that help patients excrete excess stores of iron can be helpful in treating iron overload caused by multiple blood transfusions.

Iron levels in the body are measured by both hemoglobin and serum ferritin blood tests.

Normal total hemoglobin levels are:

• neonates: 17-22 g/dl
• one week: 15-20 g/dl
• one month: 11-15 g/dl
• children: 11-13 g/dl
• adult males: 14-18 g/dl (12.4-14.9 g/dl after age 50)
• adult females: 12-16 g/dl (11.7-13.8 g/dl after menopause)

Normal serum ferritin levels are:

• neonates: 25-200 ng/ml
• one month: 200-600 ng/ml
• two to five months: 50-200 ng/ml
• six months to 15 years: 7-140 ng/ml
• adult males: 20-300 ng/ml
• adult females: 20-120 ng/ml

Iron can be found in a number of dietary sources, including:

• pumpkin seeds
• dried fruits (apricots)
• lean meats (beef and liver)
• fortified cereals
• turkey (dark meat)
• green vegetables (spinach, kale, and broccoli)
• beans, peas, and lentils
• enriched and whole grain breads
• molasses
• sea vegetables (blue-green algae and kelp)

Eating iron-rich foods in conjunction with foods rich in vitamin C (such as citrus fruits) and lactic acid (sauerkraut and yogurt) can increase absorption of dietary iron. Cooking food in cast-iron pots can also add to their iron content.

The recommended dietary allowances (RDA) of iron as outlined by the United States Department of Agriculture (USDA) are as follows:

• Children 0-3: 6-10 mg/day
• children 4-10: 10 mg/day
• adolescent-adult males: 10 mg/day
• adolescent-adult females: 10-15 mg/day
• pregnant females: 30 mg/day
• breastfeeding females: 15 mg/day

A number of herbal remedies contain iron, and can be useful as a natural supplement. The juice of the herb stinging nettle (Urtica dioica) is rich in both iron and vitamin C (which is thought to promote the absorption of iron). It can be taken daily as a dietary supplement. Dandelion (Taraxacum officinale), curled dock (Rumex crispus), and parsley (Petroselinum crispum) also have high iron content, and can be prepared in tea or syrup form.

In Chinese medicine, dang gui (dong quai ), or Angelica sinensis, the root of the angelica plant, is said to both stimulate the circulatory system and aid the digestive system. It can be administered as a decoction or tincture, and should be taken in conjunction with an iron-rich diet. Other Chinese remedies include foxglove root (Rehmannia glutinosa), Korean ginseng (Panax ginseng), and astragalus (Astragalus membranaceus).

Iron is also available in a number of over-the-counter supplements (i.e., ferrous fumerate, ferrous sulfate, ferrous gluconate, iron dextran). Both heme iron and non-heme iron supplements are available. Heme iron is more efficiently absorbed by the body, but non-heme iron can also be effective if used in conjunction with vitamin C and other dietary sources of heme iron. Some multivitamins also contain supplementary iron. Ingesting excessive iron can be toxic, and may have long-term negative effects. For this reason, iron supplements should only be taken under the recommendation and supervision of a doctor.

Iron deficiency can be a sign of a more serious problem, such as internal bleeding. Anyone suffering from iron-deficiency anemia should always undergo a thorough evaluation by a healthcare professional to determine the cause.