Medical Forum / General / Nutrition / July 2005
calcium and iron
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ken - 24 Jun 2005 14:10 GMT My primary care doctor has me on calcium/D bid becasue i am lactose intolerant and can't drink milk....But I have iron deficiency anemia and have a problem with low iron absorption - I take iron elixir twice a day..my ferritin is very low (below 20 and my hemoglobin is in the 12's...My hematologist is starting me on IV infusions of iron next week.
My question is this - is my taking calcium inhibiting my iron absorption to a signifcant degree?
Thanks
ken
OmManiPadmeOmelet - 24 Jun 2005 15:57 GMT > My primary care doctor has me on calcium/D bid becasue i am lactose > intolerant and can't drink milk....But I have iron deficiency anemia [quoted text clipped - 9 lines] > > ken I don't know the answer to that question, but how much meat do you eat? If nothing else, you could try dessicated liver tablets, or ask your doctor about Iron injections......
 Signature Om.
"My mother never saw the irony in calling me a son-of-a-bitch." -Jack Nicholson
Enrico C - 24 Jun 2005 16:38 GMT On Fri, 24 Jun 2005 09:57:55 -0500, OmManiPadmeOmelet wrote in <news:Omelet-5640DB.09575424062005@corp.supernews.com> on sci.med.nutrition,sci.med.pharmacy :
>> My primary care doctor has me on calcium/D bid becasue i am lactose >> intolerant and can't drink milk....But I have iron deficiency anemia [quoted text clipped - 13 lines] > If nothing else, you could try dessicated liver tablets, or ask your > doctor about Iron injections...... BTW, I've been told by my doctor that vitamin C helps iron retention.
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 Signature Enrico C
Pizza Girl. - 25 Jun 2005 03:48 GMT It takes iron, L-isoleucine and B12 to convert to haemoglobin. Iron alone could kill you or make you very sick. Iron and calcium could give you some nice crusty arteries.
> My primary care doctor has me on calcium/D bid becasue i am lactose > intolerant and can't drink milk....But I have iron deficiency anemia [quoted text clipped - 9 lines] > > ken Enrico C - 25 Jun 2005 11:06 GMT On Fri, 24 Jun 2005 22:49:11 -0400, Pizza Girl. wrote in <news:1119667473.402b41edbb3161cae4ef67c10371df57@teranews> on sci.med.nutrition,sci.med.pharmacy :
> It takes iron, L-isoleucine and B12 to convert to haemoglobin. [...]
That's interesting.
I know that animal products are a good source of vitamin B-12. http://ods.od.nih.gov/factsheets/vitaminb12.asp#h2
About L-isoleucine: "Some dietary sources include nuts, such as almonds and cashews, as well as chicken, liver, fish and soy. http://www.aminoacidpower.com/osc/product_info.php?cPath=3_22&products_id=278
Besides,
http://ods.od.nih.gov/factsheets/iron.asp#h3 What affects iron absorption? Iron absorption refers to the amount of dietary iron that the body obtains and uses from food. Healthy adults absorb about 10% to 15% of dietary iron, but individual absorption is influenced by several factors [1,3,8,11-15].
Storage levels of iron have the greatest influence on iron absorption. Iron absorption increases when body stores are low. When iron stores are high, absorption decreases to help protect against toxic effects of iron overload [1,3]. Iron absorption is also influenced by the type of dietary iron consumed. Absorption of heme iron from meat proteins is efficient. Absorption of heme iron ranges from 15% to 35%, and is not significantly affected by diet [15]. In contrast, 2% to 20% of nonheme iron in plant foods such as rice, maize, black beans, soybeans and wheat is absorbed [16]. Nonheme iron absorption is significantly influenced by various food components [1,3,11-15].
Meat proteins and vitamin C will improve the absorption of nonheme iron [1,17-18]. Tannins (found in tea), calcium, polyphenols, and phytates (found in legumes and whole grains) can decrease absorption of nonheme iron [1,19-24]. Some proteins found in soybeans also inhibit nonheme iron absorption [1,25]. It is most important to include foods that enhance nonheme iron absorption when daily iron intake is less than recommended, when iron losses are high (which may occur with heavy menstrual losses), when iron requirements are high (as in pregnancy), and when only vegetarian nonheme sources of iron are consumed.
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Name - 25 Jun 2005 04:39 GMT "ken" <kphifer1934@yahoo.com> wrote in message
> My primary care doctor has me on calcium/D bid becasue i am lactose > intolerant and can't drink milk....But I have iron deficiency anemia [quoted text clipped - 9 lines] > > ken It all depends. While there is an antagonism between calcium and iron, extra Ca supplementation is not likely to be much of a problem if you do in fact need both, just like foods containing both minerals generally don't create a deficiency of either one.
However if your doctor simply *assumes* that you need extra calcium, but in reality Ca levels are normal or on the high side, then an inhibiting effect of Ca on iron may well be taking place.
On the other hand, if your zinc level is high (which would also inhibit iron), then taking calcium would actually help you since calcium is a much stronger antagonist against zinc than iron. Higher intake of Vit C provides an acid base and lowers Ca and zinc, so it helps iron absorption all around. Red meat is generally considered the best dietary source of iron.
Sbharris[atsign]ix.netcom.com - 23 Jul 2005 19:42 GMT > "ken" <kphifer1934@yahoo.com> wrote in message > > My primary care doctor has me on calcium/D bid becasue i am lactose [quoted text clipped - 6 lines] > > My question is this - is my taking calcium inhibiting my iron > > absorption to a signifcant degree? COMMENT:
You're not going to die or even get sick from a hemoglobin in the 12's and a ferritin of 20. If I was in your condition I'd sure as hell be eating fried liver before I'd let anybody shoot me up with iron infusions. How much money does your hematologist make for that? Does he do it in his little private chemo clinic and bill $300 for it? Howard, now don't you start calling me cynical.
And if you're lactose intolerant, why don't you try lactose free milk? Or take your calcium at lunch? Or stop it completely for a few weeks, if you're wondering about it's effect on iron.
Name:
> It all depends. While there is an antagonism between calcium > and iron, extra Ca supplementation is not likely to be much of [quoted text clipped - 4 lines] > calcium, but in reality Ca levels are normal or on the high side, > then an inhibiting effect of Ca on iron may well be taking place. COMMENT:
What?? Nobody would (or should) assume *anything* about body calcium status from calcium levels in the blood. The doctor won't, and you shouldn't either. It's irrelevent.
> Red meat is generally considered the best dietary source of iron. CORRECT. And if you don't absorb it will from iron elixers (which will be iron salts) you still may get great absorption from liver, red meat, and blood pudding. It's a separate iron absorption system.
SBH
Enrico C - 23 Jul 2005 20:15 GMT On 23 Jul 2005 11:42:40 -0700, Sbharris[atsign]ix.netcom.com wrote in <news:1122144160.541874.39240@g14g2000cwa.googlegroups.com> on sci.med.nutrition,sci.med.pharmacy :
>> "ken" <kphifer1934@yahoo.com> wrote in message >>> My primary care doctor has me on calcium/D bid becasue i am lactose [quoted text clipped - 13 lines] > eating fried liver before I'd let anybody shoot me up with iron > infusions. [...]
Why *fried* liver? :)
What about ferrous sulphate (FeSO4) tablets, in case the original poster doesn't like liver?
http://www.tiscali.co.uk/lifestyle/healthfitness/health_advice/netdoctor/archive /100001040.html
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Sbharris[atsign]ix.netcom.com - 23 Jul 2005 23:52 GMT > Why *fried* liver? :) Boiled or raw is just as good, insofar as iron goes. You like it like that?
> What about ferrous sulphate (FeSO4) tablets, in case the original poster > doesn't like liver? They are not absorbed as well, and certainly would not be any better absorbed than the liquid he's already taking. The iron in liver, meat, and blood is heme-iron, and is especially well absorbed.
SBH
PZa - 23 Jul 2005 10:20 GMT the concomitant administration o calcium ang iron is not indicated, calcium blocs the absorbsion of iron, take your iron 2 hours before calcium
> My primary care doctor has me on calcium/D bid becasue i am lactose > intolerant and can't drink milk....But I have iron deficiency anemia [quoted text clipped - 9 lines] > > ken ironjustice@aol.com - 23 Jul 2005 19:31 GMT >>I take iron elixir twice a day..my ferritin is very low (below 20 and my hemoglobin is in the 12's...My hematologist is starting me on IV infusions of iron next week. <<
Well according to the .. facts .. you presented .. as TO .. the DETERMINATION .. of .. iron 'deficiency' ..
It hasn't been properly .. proven ..
Unless he has gone the extra mile to .. POSITIVELY .. diagnose .. iron .. DEFICIENCY .. the fact he IS going to give you iron infusions .. is .. stupid ..
Who loves ya. Tom Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com Man Is A Herbivore! http://pages.ivillage.com/ironjustice/manisaherbivore DEAD PEOPLE WALKING http://pages.ivillage.com/ironjustice/deadpeoplewalking
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