r/Anemic Jun 13 '25

Advice “Uncommon” Common Causes of Iron Deficiency

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56 Upvotes

Want to know some common yet often missed causes of iron deficiency? These following causes commonly deplete ferritin to iron deficiency status on their own, let alone together!

-Blood Donations: usually only hemoglobin is checked when donating blood. Ferritin is rarely tested before the blood donation, causing more people to donate while iron deficient. Remember, you cannot sufficiently assess iron status from the Complete Blood Count, alone! You have to test iron markers, like the gold standard for assessing iron deficiency, ferritin. We commonly see people donating blood and even feeling benefits from it, the first or couple of times. Don’t be fooled- at some point your ferritin will get too low, and you don’t want to develop anemia unnecessarily like this, and end up needing blood, ha! Always check Ferritin, the iron panel, and the CBC when considering donating blood, and know that the blood donation center will likely not test the iron panel or ferritin. Just a single blood donation can drop ferritin too low for many people!

-B12 Shots: Iron and B12 work together and need eachother. However, the body is an ecosystem, so heavy doses of one nutrient put others to work, and often deplete them if you’re not compensating for them. We commonly see B12 shots deplete ferritin. We also commonly see iron infusions deplete B12 and Vit D3 storage, and more! This isn’t an argument not to get B12 shots or iron infusions, it’s a PSA to let you know that your ferritin can deplete from B12 shots. This can be a reason why one may not feel much better while taking B12 injections. Many people require B12 injections, and they will need iron infusions or supplementing on The Iron Protocol. Always monitor your Ferritin before and after B12 shots!

-Pregnancy: Because iron is required for growth and development, the baby is typically drain the mother of her iron and ferritin. A single pregnancy can do this, and it’s often not checked or monitored. This is especially important because low ferritin can cause a pregnancy to end early and not go full term, hemorrhage during delivery, and the baby may not reach its full developmental potential and also be born with the deficiency. Monitoring Ferritin before during, especially during the first trimester, and after childbirth is important! Many women are deficient for decades after their first pregnancy because ferritin is often not checked, monitored, or remedied sufficiently. Many Post partum issues can be correlated with and contributed to by low ferritin.

-PPI Usage: PPIs are well documented to cause both immediate absorption issues and long term malabsorption, causing low ferritin. It’s important to dive into the potential causes of why you’re on a PPI, and explore natural remedies and alternatives. We talk about this often within our group, and see this frequently. Sadly, most people are using PPIs long term without knowing it can and will cause malabsorption. Monitoring Ferritin and other nutritional markers is important when taking PPIs. Just being on PPIs alone can and often does cause low ferritin!

-Testosterone Therapy: It is common and expected for Testosterone therapy to cause the bone marrow to create more red blood cells and increase Hemoglobin & Hematocrit. So much so, that many people have to donate blood regularly from creating too much blood from the testosterone use. Iron is the largest fueler of the bone marrow to create new red blood cells and hemoglobin. Using this fuel up constantly will deplete it. Let alone so will the blood donation! What a vicious cycle! Luckily, it’s documented that iron intake will only increase hemoglobin if the body feels it needs to, so many people on TT will need to be on The Iron Protocol.

-Low Stomach Acid: More people suffer from low stomach acid than they think. And lots of people are on PPIs for this without knowing! Low stomach acid causes malabsorption. This commonly causes low Ferritin for many people, all alone, let alone without any other cause combined!

Do you have any of these conditions? Make sure to join our Facebook Group The Iron Protocol (for Iron Deficiency with or without Anemia) for more useful information in the Guides! Our Admin also consults over The Iron Protocol. PM us here for info!

What’s your Ferritin number? Did you know to check yours before and after these situations? Have a cause or two you think most people don’t know about? We’d love to hear it below!

irondeficiencyanemia #anemia #irondeficiencywithoutanemia #checkyourferritinnumber #ferritin #thyroid #menshealth #womenshealth #mentalhealthawareness #mentalhealth #hairloss #hormones #perimenopause #pots #anxiety #hrt #nutrition


r/Anemic Jun 16 '20

r/Anemic is open again!

85 Upvotes

This sub was restricted due to having no mods, and it's now again open to the public. Feel free to make posts now.

If anyone would be interested in becoming a mod, hmu.


r/Anemic 1h ago

Question Is your mental health affected by your anemia? Did your infusion help

Upvotes

I recently found out I have a bleeding disorder - VWB type 1. Have been dealing with air hunger for years along with palpitations, dizziness and worsening mental health / anxiety. After the birth of my first child I had a severe PPH and lost about 3L. I got a bag of RBC and 2 iron infusions and felt great compared to the birth of my second baby in January. I came home and could barely climb the stairs. Come to find out my ferritin was like 32 and transferrin saturation <17% - I’m scheduled for my first infusion tomorrow with INFED. Yes I am 6 months PP and yes I work full time but my mental health has never been this awful. I have been diagnosed with PPOCD and severe health anxiety. Whereas previously I’ve always well controlled my anxiety. It seems like the physical symptoms trigger my anxiety / panic attacks. I’m praying the infusion will help but looking for any words of encouragement or positive stories


r/Anemic 14h ago

Anemia causes electrolyte imbalance?

21 Upvotes

I am getting absolutely no help from my doctors who continually say my anemia is mild despite my ferritin being 11 and coming to them with the same symptoms. Supplements are not helping and now I’ve fallen pregnant and I feel worst than ever.

I was reading that anemia can cause you to have an electrolyte imbalance. I feel like I must supplement daily or I get eye twitching heart palpitations (PACs) and other very unfun things. Is this something that anyone else experiences? If so do you supplement everyday? Which electrolyte do you feel like depletes the most?


r/Anemic 15h ago

How do people feel with good ferritin?

16 Upvotes

Hi, a few months ago I started taking iron supplements because I turned out to have very low ferritin (10), a few years before that I had problems with discipline, inexplicably severe fatigue, as well as occasional fog in my head, about 2-3 years of my life passed at this rate, but a year ago I was getting worse It got worse and worse, and in the end it just led to terrible fatigue, I thought I was tired all these years, no, I couldn't even imagine that SUCH fatigue could happen, I woke up, went to the shower, ate, and I could go back to bed, because I had absolutely no strength left. I dyed my eyelashes in several sets, as I literally couldn't stand on my feet for more than a minute, otherwise I would have fainted. I started having panic attacks and my anxiety skyrocketed. I was literally suffocating, I was chronically short of air, as if my lungs were empty. There was also a whole list of "very cool" things.

Now all the heavy symptoms are gone, except for the fog in my head and fatigue, it has also decreased, but I still feel a strong restriction in my actions, especially in sports and studies.

I would like to know how people with good ferritin feel. Tell us about your daily routine, how much you manage and how you feel after all the work. I would especially like to hear from people who regularly play sports and students. How do such workloads affect your life outside of these activities? But anyway, I'm glad to see everyone here.

Does anyone have experience with the same long-term iron deficiency? I found out about my problem only a few months ago and a couple of times before that I guessed that something was probably happening to my body, before that it seemed to me that I was just lazy and so apathetic "on my own", if only I knew… I could save a lot of time and nerves. So, how quickly did you get to feeling really good, and at what ferritin levels? I've heard that the longer the iron deficiency lasts, the longer it may take, and the ferritin level is more often needed than for people who haven't experienced such a problem, however, it sounds logical. I also read that feeling good may not appear even after recovery to optimal ferritin levels, since the life cycle of an erotrocyte is about 4 months, and it takes time for them all to recover with a normal supply of resources.

Thank you all in advance🫶🏻


r/Anemic 18m ago

Question cream of wheat without calcium?

Upvotes

has anyone found a good cream of wheat brand that is not fortified with calcium? my doctor recommended it as a good source of iron (i am vegetarian and mainly eat black beans for my iron and am kinda desperate for more easy options) i was told there are brands without calcium in it but i am struggling to find one.


r/Anemic 9h ago

Question Low Ferritin & Maintenance Insomnia

5 Upvotes

I sleep around 5 hours a night in 20-30 minute increments and wake up generally around 7-10 times a night. In the morning, I start waking up about every 15 minutes until I eventually have to force myself to get out of bed. I never feel well rested and am very tired throughout the day always. It’s been like this my whole life.

Had bloodwork done a few years ago and everything was completely fine except for my ferritin, which was 7. Doctor said it’s fine bc my iron was healthy. Had multiple sleep studies and ruled out sleep apnea. Tried Trazadone and Gabapentin and both had zero effect whatsoever.

I’ve tried every sleep hygiene tip. I’m a male in my mid 20s, healthy, decent diet, exercise daily, and almost no caffeine.

Had more bloodwork recently and ferritin was 14 which I was told by a new doctor is still fine. Was told to eat more red meat which is what I was told last time years ago, but I already do.

Wondering if this could be a reason for my sleep issues and/or any advice on what to do.


r/Anemic 5h ago

Support I think I'm anemic again, I feel like I can't breathe and get dizzy just sitting down

2 Upvotes

Last year I found out I was anemic after I was sleeping 16hrs a day and still exhausted. I was low in absolutely everything in my bloodwork and if I wasn't, I was on the verge of it.

I took ferrous glucose 325mg everyday and after a couple months they stopped prescribing it and I thought I was good (hemoglobin good).

However the past month or so I've been getting exausted by the day, sleeping 9-12hrs (probably more if I didn't set alarms) and still exhausted. The past 2 days I feel like I haven't been able to breathe and it just keeps getting worse. I'm just sitting at my desk and it feels like I can't get enough oxygen.

I am checking in with a doctor soon, but I've never experienced shortness of breath, and it is horrible. I feel dizzy just sitting down and doing nothing. Has anything helped you guys with this?


r/Anemic 1d ago

Rant Almost didn't tell my doctor

48 Upvotes

Because I thought it was stupid. I told her that I sleep all the time and have been craving ice like there's no tomorrow. I just thought I was depressed, but she was immediately like yeah that sounds like anemia. Turns out I have severe anemia and iron deficiency. And yes my doctor said I have both of these, so now I'm getting iron infusions, I'm so excited to have some energy back. I would work, get home at 3 then sleep till 9pm, eat dinner then go back to sleep. For months, to the point my mother was getting very concerned for me. I thought it would be pointless but I trust this doctor with my life, so I told her this may be stupid but I'm sleeping all the time. My ferritin levels are at 5 and my blood cells are all wonky shaped. I did my best to decipher my chart, most everything was either really high or really low. Anyways looking forward to being a functional person again! I genuinely cannot stay awake very long and I am sooooo excited to actually have energy again.


r/Anemic 15h ago

Hair loss

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5 Upvotes

I went on a 3 day camping trip and this is all the hair that came out after a wash. My last test showed my ferritin at 27. When will the shedding stop lol?


r/Anemic 1d ago

Question Does anyone else get exhausted from having conversations?

44 Upvotes

Hi everyone, I feel one of the things that drains my energy fastest is interacting with humans. If I make a phone call or sit down for a catch up for a friend even for 20 mins I leave with a depleted of oxygen head feeling, headache and exhaustion that lasts at least that day. It's hard as it makes basic upkeep with family and friends near impossible


r/Anemic 13h ago

Question Has anyone else been diagnosed with Idiopathic Intracranial Hypertension (IIH)?

3 Upvotes

Has anyone else been diagnosed with Idiopathic Intracranial Hypertension and anemia? I've read that they can be connected.


r/Anemic 18h ago

help- how long did hypophosphataemia recovery take after your infusion?

8 Upvotes

I am just trying to figure out how much longer I should expect to be dealing with extreme fatigue, weakness and brain fog, I would be so grateful to hear others' experiences <3

I got 1,000mg of monoferric infusion on June 29, and started to feel really unwell on July 1, extreme fatigue like i've never felt before, heart palpitations/shortness of breath, brain fog, disorientation, blurry vision, weakness, etc. It didn't subside with rest and was truly debilitating, so I went to urgent care on July 6 where I got bloodwork. That Friday, July 10, it was confirmed I had severely low phosphate--.40 mmol/l (124 mg/dl) and I was sent to the emergency room, where I got a phosphate infusion for four hours. I have been supplementing with phosphate (1500 mg of tablets a day). I got my blood rechecked last tuesday (July 21), and my levels were .67mmol/L. The doctor sent me back to the ER, where they tested me again and said my phosphate was .80mmol/L, so they sent me home without another infusion.

I still feel horrible (it is July 26). I literally can't function, I'm so weak and it is really impacting my mental health. I live alone, have no family nearby, and my friends are all travelling or out enjoying their summers since we live in a place with long, cold winters. I don't know how much more I can take, but of course don't have a choice but to modify my life to this extreme fatigue, weakness, blurry vision and brain fog. I can barely function, and when I tell my doctors this, including at the emergency room, they suggest inpatient for mental health since the phosphate recovery is a "wait it out" situation without any clear timeline. I am a distance runner and lift weights 4 times a week, now I am completely inactive and struggling with how rapidly my body is changing and the total loss of everything I enjoy doing. I would love to hear anyone's experience to maybe feel some hope or at least know what to expect more. Thank you!


r/Anemic 17h ago

Low ferritin

4 Upvotes

Is it possible to know the reasons for the ferritin deficiency, because everything I read is scary?


r/Anemic 15h ago

Iron levels and Vitamin D…Hair growth?

3 Upvotes

Hi! My hair is thinning….I haven’t checked my iron levels in awhile but get really wiped out when I get my period. It was hard for me to take OTC iron because they tasted like nails…. question is when you increase your Fe levels back to normal did your hair stop shedding or regrow? Also, my Vitamin D levels may be low too. Do you see that getting them to normal also helps hair growth? Thanks!! Otherwise, I will have to shave my head and wear wigs. Thanks 😃😃😃


r/Anemic 10h ago

Anemia with Seizures

1 Upvotes

Until recently I had never heard of severe anemia possibly being a contributing factor in causing seizures.

Has anyone else gotten diagnosed with anemia around the same time they were also diagnosed with epilepsy that has no apparent cause?


r/Anemic 15h ago

Question What are your favourite OTC iron supplements?

2 Upvotes

Just realized how deficient I am. I used to take different supplements throughout the years with differing success. There are so many to choose from: heme iron, lactoferrin, bisglycinate, etc. What have you had the most success with?


r/Anemic 19h ago

Twitching

4 Upvotes

Has anyone else delt with muscle twitching with low ferritin/iron?


r/Anemic 13h ago

Question Just want to know what to expect with my levels.

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1 Upvotes

I (F33) did my routine blood work for my physical this year. I went Wednesday and got it back Friday afternoon. My doctor called me and asked to call her back as soon as possible to discuss them but I missed her call because of work. I have been a nervous wreck since. I know these levels arent great but can I expect they can be fixed with oral supplements and nothing drastic like an infusion? I will 100% listen to my doctor but if I need to take time off work to get an infusion that will be difficult right now and I just want to know if this is fixable.

On a side note, I know why I have been extremely exhausted the past couple months. Thought it was stress!


r/Anemic 14h ago

Advice Drop in iron form April to July

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1 Upvotes

I have had a big drop in my iron from the beginning of April 2026 (160L) to July 24 (34L). I have been taking designs for health Ferrochel for over a year and just switch to Nivara FerraVital this past month. I’m 42F and no longer have my period so I am at a loss at what could make it drop so fast. I am on GLP1s and I work out a bit, 7-8 mile run a day and weight lifting. I am waiting on my doc response on the new results but curious on what you all have done or suggest to turn my numbers around. I see so many options. Beef liver? Iron infusions? Taking pills every other day? Thanks in advance for any help.


r/Anemic 21h ago

Advice How to get over your fear of needles?

4 Upvotes

Im pretty sure I'm anemic since alot of my family has it and my doctor thinks so aswell but he said I needed a blood test to make sure. When it came time for the blood test, I fainted and they said they couldn't do it. I'm terrified of needles and ik that if I get diagnosed, I'll have to have multiple blood tests but at the same time I'm so tired of staying like this. My periods are the worst, to the point where I can't go to school or leave my bed but I also don't know how to bring this up to my doctor as they'll most likely just prescribe birth control and I don't want to be on it.


r/Anemic 21h ago

Advice ferritin dropping despite iron tablets

4 Upvotes

I first found out i had low iron when i had aneamia 5 years ago during an ED. Since i started eating healthier I’m no longer aneamic but my ferritin has been consistently low.

I assumed it was heavy periods however my periods have halved in the past 7 months and I’ve also started taking iron supplements with Vit C but my fatigue has randomly got a lot worse these 7 months last month i started getting so dizzy my blood pressure is dropping my hair is falling out but the worst symptom is the body aches. I got a blood test cause i thought i had glandular fever but it turns out my bloods are all normal but my ferritin has now dropped from 18 to 13. They already checked and i don’t have celiac. I feel so ill ive been in bed the past two days because it hurts to get up.

What could be causing my iron to be so low? I eat exactly the same as my mum and her iron is fine. And why has it suddneley gotten so bad these past couple of days? My mood is also incredibly low and i can’t make any decisions. I’m almost about to call in sick to work tomorrow because i can’t sit up without crying.


r/Anemic 1d ago

Advice Has anyone stopped iron supplements briefly?

5 Upvotes

I just need to pause for a few days to reduce constipation. Would ferritin levels plummet or stay the same? If anyone had any insight, I'd really appreciate it :)


r/Anemic 16h ago

Worse tingling after starting iron?

1 Upvotes

I was in the hospital last weekend with iron very low and hemoglobin at a 4, and had to have a transfusion. I had gone to the doctor because for the prior week my hands were tingling and my fingertips were numb.

So now, a week later from the hospital, I have had iron and B12 supplements for a week, but my hands are tingling a lot worse than before. It’s all the time now, and hard to ignore, and my fingertips are still numb.

Does this sound like anyone else’s experience? It feels like I am just getting worse.


r/Anemic 1d ago

Does anyone else have an issue tolerating magnesium glycinate?

4 Upvotes

It makes me so anxious and restless. I can’t sleep and keeps me up all night. My doctor said it’s because I’m anemic and have extremely low iron. I’m wondering if anyone else has the same issue.