Iron Supplements: Benefits, Dosage and Safety

Summary

Iron supplements treat iron deficiency and iron-deficiency anemia, which are common in people with heavy periods, pregnancy, frequent blood donation or vegetarian diets. Only take iron if a blood test shows you need it: excess iron is harmful, and iron overdose is dangerous for children.

Evidence at a glance

UseGradeWhat the research shows
Treating iron-deficiency anemiaAOral iron reliably restores hemoglobin and iron stores.
Fatigue without deficiencyDNo benefit if iron levels are normal.

A: strong, consistent human evidence · B: moderate · C: limited or mixed · D: good evidence of no benefit.

Iron carries oxygen in red blood cells. Low iron causes tiredness, shortness of breath, pale skin, hair shedding and restless legs.

How to take it

Take iron with a source of vitamin C and at least 2 hours apart from calcium, tea, coffee and antacids. Some people tolerate alternate-day dosing better. Gentler forms such as bisglycinate cause fewer stomach problems; see ferrous bisglycinate vs ferrous sulfate.

Safety and interactions

Constipation, nausea and dark stools are common. Iron reduces absorption of levothyroxine and some antibiotics. People with hemochromatosis must avoid iron supplements. Keep iron out of reach of children.

Always tell your doctor and pharmacist about the supplements you take. Check combinations with our interaction checker.

Sources

  1. NIH Office of Dietary Supplements: Iron Fact Sheet for Health Professionals

This page is for education and is not a substitute for advice from your doctor. Read our medical disclaimer.