Iron in the Body: Importance, Causes of Deficiency, and Optimal Supply

Iron is one of the most important trace elements in your body. It supports energy, performance, and the immune system – and yet iron deficiency is widespread. Here you’ll learn why iron is so important, how a deficiency can occur, and how to optimize your iron intake in everyday life.
Why Iron is so important?
- Oxygen transport: Iron is a component of hemoglobin, which delivers oxygen to muscles and organs.
- Energy production: Iron-dependent enzymes drive your energy metabolism – crucial for endurance and concentration.
- Immune system & brain: Iron supports immune defenses, cognitive functions, and temperature regulation.
Typical signs and how to assess Iron levels
- Possible symptoms: Fatigue, pale skin, cold hands/feet, shortness of breath during exertion, brittle nails/hair, restless legs, difficulty concentrating.
- Key lab values: Ferritin (stored iron), hemoglobin, transferrin saturation. Ferritin is the most reliable marker (can be elevated during acute inflammation – then evaluate with your doctor).
Common causes of Iron deficiency
- Increased demand: Growth (adolescents), endurance training, pregnancy/lactation.
- Low intake: Unbalanced diet, very low calorie intake.
- Decreased absorption: High phytate content (e.g. unprepared whole grains), lots of coffee/tea with meals, chronic intestinal inflammation, celiac disease.
- Blood loss: Heavy/frequent menstruation, blood donations, gastrointestinal bleeding (consult a doctor).
Who should be especially careful
- Menstruating women, pregnant and breastfeeding individuals
- Adolescents, endurance athletes
- Vegetarians/vegans (possible, but requires good planning)
- People with gastrointestinal disorders or after bariatric surgery
How to improve Iron absorption
- Use vitamin C: Combine plant-based iron sources with vitamin C-rich foods (e.g. lentils + bell pepper/citrus). Vitamin C boosts non-heme iron absorption.
- Know the inhibitors: Coffee, black/green tea, cocoa/polyphenols, calcium (in large amounts), phytates from grains/legumes – best consumed 1–2 hours apart from iron-rich meals.
- Kitchen tricks: Soak, sprout, or ferment legumes/grains – reduces phytates. Cooking in cast iron can increase iron intake.
- Heme vs. non-heme iron: Animal sources (heme iron) are absorbed more easily; plant-based sources (non-heme) require vitamin C and proper preparation.
Iron-Rich foods (Plant-based and animal-Based)
- Plant-based: Lentils, chickpeas, beans, tofu/tempeh, pumpkin and sesame seeds, pistachios, quinoa, amaranth, oats, spinach/kale (combine with vitamin C).
- Animal-based: Beef/veal, liver, poultry, fish/seafood (e.g. mussels).
- Everyday tip: Include 1–2 iron-friendly meals per day (e.g. lentil curry with vegetables and lemon; oat bircher with strawberries/kiwi and nuts).
Supplements – When are they useful?
- Test first, then supplement: If deficiency is suspected, test ferritin, Hb, and transferrin saturation.
- Maintenance/light support: 14–30 mg elemental iron/day can be helpful if diet is borderline.
- Treatment of deficiency: Higher doses only under medical supervision (e.g. 50–100 mg elemental iron, short-term use).
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Forms & tolerability:
- Iron(II) bisglycinate, fumarate, or sulfate are common; bisglycinate is often gentler on the stomach.
- Best taken on an empty stomach or with vitamin C; if causing discomfort, take with a small, non-calcium-rich meal.
- Keep distance: 2 hours between iron and coffee/tea, large calcium/zinc doses, and certain medications (e.g. thyroid hormones, some antibiotics).
Safety notes
- Don’t take high doses of iron "just in case" – too much iron can be harmful.
- With hemochromatosis (iron overload disease) or acute infections, only take iron under medical supervision.
- Side effects such as nausea/constipation are possible – adjust dose/form or timing if needed.
Quick checklist for everyday life
- 1–2 iron-rich meals daily, combined with vitamin C.
- Keep coffee/tea separate from iron-rich meals.
- Soak or ferment legumes/grains.
- If you experience fatigue + risk factors: check iron status (ferritin, Hb).
- Use supplements purposefully, based on evidence, and for a limited time.
Conclusion
Iron is essential for energy, oxygen transport, and the immune system. With smart food choices, some kitchen tricks, and – when needed – targeted supplementation, you can support your iron stores sustainably.
Note: Supplements are not a substitute for a balanced diet and healthy lifestyle. If you have health concerns or pre-existing conditions, consult a qualified healthcare professional.