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Overview Iron Supplements and Vitamin D

Summary

  • 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

Several items clipped from web

Iron Supplement in WikiPedia

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 HEP 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.

What are The Best Iron Supplements for Women Livestrong June 2011

  • Discusses: Floradix. Nature Made, Feosol, Fergon

Amazon Top rated Iron

  • 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 only

  • cost of 25 mg varied from 2 cents to $2,00 (Floradex with Herbs)

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.

Enhancers of iron absorption: ascorbic acid and other organic acids. PubMed 2005

  • lots of excellent information in the abstract

Ferrochel better ferrous sulfate during pregnancy PubMed 2001

  • 2X more taken the treatment adequately
  • 2X fewer still had Iron deficiency
  • none of Ferrochel pateints had taste problems vs 29% of ferrous sulfate
  • Ferrochel had only 15 mg of Iron vs ferrous sulfate had 40 mg of Iron

Suppression of Iron-Regulatory Hepcidin by Vitamin D.

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.

PMID: 24204002
Wikipedia
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


See also VitaminDWiki

See also web

  • 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
  • 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
  • US National Insititue 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)

See also Hepcidin

  • 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."

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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

see  Overview of Magnesium http://is.gd/VDMag

Attached files

ID Name Comment Uploaded Size Downloads
8067 iron-deficiency-and-vitamin-d.jpg admin 05 Jun, 2017 11:29 25.05 Kb 222
8066 Supp with Vit D, increase Hepcidine.jpg admin 05 Jun, 2017 11:13 30.26 Kb 219
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