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Iron B

Helps in deficiency; without deficiency it is useless and harmful

HealthEndurance Recompositionthere are certified formsnote: doping control

Citable fact

«Iron» — evidence level B. Dosage: The doctor selects doses based on ferritin, transferrin and hemoglobin; typically 40–100 mg of elemental iron per day, and every other day if it is not tolerated. Forms: sulfate, fumarate, bisglycinate. Source: PMID 39536912, permanent link to the source in the list below.

How it works

Iron is required for the synthesis of hemoglobin and myoglobin, for oxygen transport and for the work of oxidative enzymes in muscle. Deficiency without anemia already reduces endurance.

Dosage and intake

Dosage

The doctor selects doses based on ferritin, transferrin and hemoglobin; typically 40–100 mg of elemental iron per day, and every other day if it is not tolerated. Forms: sulfate, fumarate, bisglycinate.

When to take

On an empty stomach or with vitamin C; 2 hours before or 4 hours after tea, coffee, calcium and iron-containing products. Every-other-day intake may improve absorption.

Doses are given for adults. For profiles under 18 the app does not show doses, and during pregnancy and lactation the personal calculation is replaced by advice to consult a doctor.

Forms

Sulfate, fumarate, gluconate and bisglycinate have been studied. Bisglycinate is tolerated better, but there is less data on how fast it restores stores; data on “liquid iron” and heme forms are limited.

What is confirmed

  • Systematic review in female athletes: in iron deficiency, therapy improves aerobic performance
  • Less fatigue and better exercise tolerance in anemia
  • In athletes with normal stores, supplementation does not improve performance
  • Especially relevant for women, long-distance runners and vegetarians

Adverse effects and limitations

  • Constipation, nausea, dark stools, metallic taste
  • Overdose is life-threatening, especially in children: keep out of reach
  • Excess iron increases oxidative stress and damages the liver
  • Taking it without a blood test can mask other causes of anemia

Interactions

  • Calcium, tea, coffee, milk and antacids reduce absorption
  • Tetracyclines, fluoroquinolones and bisphosphonates bind to iron — separate by at least 2 hours
  • Vitamin C improves absorption; taking it together with zinc impairs the uptake of both

Who must not use it

  • Under 18 years: Only for confirmed deficiency and as prescribed by a doctor.
  • Pregnancy and lactation: Often prescribed when indicated; self-administration without tests is not recommended.
  • hemochromatosis
  • thalassemia
  • hemosiderosis
  • chronic inflammatory diseases

Sources

See also

Open in the app

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