Anemia / Iron Deficiency

Iron deficiency anemia is a condition that leads to smaller than normal, and decreased amount of red blood cells. This is a bad thing, because red blood cells are responsible for carrying and delivering oxygen throughout the body. Smaller cells have less room to carry oxygen molecules.

Iron deficiency typically occurs when a person doesn't get enough iron in their diet, or from blood loss (injury, surgery, or female reproductive cycles).

Most often, women of reproductive age have the highest risk of iron deficiency anemia due to blood loss (through menstruation). Vegans and vegetarians are also at risk, if they don’t eat a diet rich in iron-containing vegetables like:

• Spinach
• Sweet potatoes
• Peas
• Broccoli
• String beans
• Beet greens
• Dandelion greens
• Collards

Lastly, endurance athletes (especially runners), are at risk which we discuss in detail below. 

In some cases, there are hidden sources of iron loss such as sweating (not a major cause but it doesn't help) and in the gut during intense exercise (some bleeding occurs in the gut with intense, long term exercise). Other causes include urinary iron loss and exercise induced hemolysis (red blood cell damage due to repetitive force).  All of these are minor, but persistent avenues of iron loss and they can compound over time. 

Undiagnosed gluten sensitivity or celiac disease can be a reason why a person has low iron or chronic anemia without explanation.

Symptoms of Anemia

• Fatigue (that never really goes away)
• Rapid heart beat
• Shortness of breath
• Dizziness
• Easy bruising
• Poor recovery
• Cramping
• Insomnia
• Anxiety
• Craving for chewing on ice

Causes of Anemia

• Excess Iron loss through sweat
• GI Tract related blood loss
• Tissue erosion
• Tissue inflamation
• Gastritis
• Colitis
• NSAIDS (non-steroidal anti-inflammatory drugs)
• Urinary Iron loss
• Exercise induced hemolysis (red blood cell damage/loss due to repetitive force)

Diagnosis & Treatment Of Anemia

• The first step is to identify the cause through appropriate lab testing. It's important to find out the why of iron deficiency before beginning treatment.
• Replacing iron in the diet with iron-rich foods (both animal and plant based) like clams, oysters, liver, beef, turkey, sardines, beans, lentils, nuts, seeds and dark leafy greens is a simple way to start treatment.
• Iron replacement (always take with vitamin C – it will more than double the absorbtion of iron!)