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Managing Iron Deficiency on a Plant-Based Diet with Hashimoto's

Explore strategies for tackling iron deficiency while adhering to a plant-based diet. Discussion includes the role of supplements, dietary tips for enhancing iron absorption, and considerations for individuals with Hashimoto's.


  • Biohacking iron deficiency?

    I (21F) have been getting iron infusions for 2 months (4 sessions) but still have borderline low iron, ferritin and low haemoglobin. My diet hasn't been great in the past but I've been eating a lot of leafy vegetables lately. Sadly I'm currently limited to a plant based diet. I have hashimoto's so perhaps it is affecting absorption. I take Vitamin C, D, Zinc and Selenium already. Should I try supplements for iron too? Thanks.

  • Biohacking iron deficiency, especially when limited to a plant-based diet, can be challenging but manageable with careful dietary planning and appropriate supplementation.

    1. Iron Absorption and Sources: Plant-based diets primarily offer non-heme iron, which is less efficiently absorbed compared to heme iron found in animal products. To improve absorption, consume iron-rich foods like pulses (e.g., kidney beans, chickpeas, lentils), fortified cereals, and dark leafy greens alongside a source of Vitamin C12.

    2. Supplementation: It may be beneficial to consider iron supplements, particularly because the Recommended Dietary Allowance (RDA) for vegetarians is about 1.8 times higher than for non-vegetarians due to the lower bioavailability of non-heme iron3. Look for supplements that are specifically formulated for better absorption, such as iron bisglycinate or liquid iron supplements.

    3. Nutrient Interactions: Be cautious with multivitamin and mineral supplements, as some nutrients can compete for absorption. While Vitamin C enhances iron absorption, calcium and zinc, for example, can interfere when taken simultaneously2.

    4. Underlying Health Conditions: Since you mentioned having Hashimoto's, it would be prudent to discuss your iron supplementation plan with a healthcare professional as thyroid health can sometimes affect iron metabolism2.

    In summary, alongside continuing your dietary changes, using iron supplements might be necessary to meet your body's needs, especially given the additional demands of a plant-based diet.

    Footnotes

    1. NHS, "The vegetarian diet," NHS, 2023.

    2. Mayo Clinic, "Vegetarian diet: How to get the best nutrition," Mayo Clinic, 2023. 2 3

    3. Office of Dietary Supplements, "Iron," NIH, 2023.

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