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Research Hub
Oral iron supplements increase hepcidin and decrease iron absorption from daily or twice-daily doses in iron-depleted young women
Article DOI: https://doi.org/10.1182/blood-2015-05-642223
Oral iron supplements increase hepcidin and decrease iron absorption from daily or twice-daily doses in iron-depleted young women
Article DOI: https://doi.org/10.1182/blood-2015-05-642223

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Oral iron supplements increase hepcidin and decrease iron absorption from daily or twice-daily doses in iron-depleted young women

2015 Oct 22   Blood   Moretti D, Goede JS, Zeder C, Jiskra M, Chatzinakou V, Tjalsma H, et al.

Iron supplementation increases hepcidin levels and decreases fractional iron absorption, with lower dosages (40-80 mg) and alternate day supplementation maximizing absorption compared to higher and twice-daily doses.

Experimental Study Clinical Study Iron Deficiency
Submitted by Jinnan C. 11 May 2024 - Added by Rachael L. 4 Jul 2024
DOI 10.1182/blood-2015-05-642223

Insights & Discussion

Iron supplements intake acutely elevates hepcidin levels, decreasing the subsequent iron absorption with lower dosages and alternate day supplementation maximizing absorption.

In the methodology, a total of 54 nonanemic young women having plasma ferritin ≤20 µg/L were selected. There were two studies: the first study had 25 participants who were given varying doses of iron ranging from 40mg to 240mg at 8:00 am while fasting for one or two consecutive days. In the second study, 16 participants were given similar iron doses. A third study involving 13 participants entailed ingestion of three 60mg Fe doses within a span of 24 hours.

In the results discussion, it was found that doses above 60mg led to a rise in serum hepcidin levels after 24 hours, causing a decline in fractional iron absorption by 35% to 45%. As the dosage increased, absorption fraction decreased but absolute absorption increased. For instance, a sixfold increase in iron dose resulted only in a threefold increase in amount of iron absorbed. Furthermore, the total iron absorbed from three doses was not considerably greater than from two morning doses.

— Research Hub A. 11 May 2024
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