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Iron's Irony

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Iron's Irony: It Can Make You Strong or Kill You

Despite the increasing number of people adopting plant-based diets, there are still many myths about this way of eating.  One of those myths is that vegans do not get enough iron.   

The truth is that it is entirely possible for anyone, vegan or omnivore, to be low in iron. In fact, many studies show that iron deficiency in vegans is about the same as in the rest of the population.

Iron (in your red blood cells) plays a central role in transporting oxygen throughout your body, releasing it where needed, and carrying away carbon dioxide.  Iron also plays a role in your immune system functioning, in detoxification, and in the mental processes surrounding learning and behavior. 

How much do you need?
The RDA of iron for most people is 8 mg per day.  Women of childbearing age need 18 mg.  Pregnant women, infants, teens, and athletes may have different needs so check with your medical provider to see what's ideal for you.  Because iron has such a vital role in transporting oxygen throughout the body, you might be exhausted, irritable, cold, have headaches, and pale skin if you are low in iron.  

Heme or Non -Heme?
There are two types of iron: heme iron, which is found in animal foods, and non-heme iron, which is found in plant-based foods. 

Heme iron, found in meat, is more readily absorbed even when the body doesn’t need any iron.  Once heme iron has been absorbed, the body has limited mechanisms for ridding itself of any excess.  Heme iron is a pro-oxidant which mean that too much in the body promotes cancer cell growth, suppress the immune system, and triggers the creation of blood-clotting platelets increasing the risk for heart disease and stroke.  Research indicates that high iron intakes and excess iron in the body is associated with Alzheimer’s and Parkinson’s diseases, arthritis, and type-2 diabetes.

Relying on a non-heme iron, found in plant foods, gives your body more control over how much is absorbed.  If iron reserves are low, the body absorbs more iron from plant foods.  If iron reserves are abundant, the intestines can absorb a lower proportion of nonheme iron.

Iron Supplements?
Only people with a confirmed diagnosis of iron deficiency anemia should consider supplementing their iron intake, and even then, it can be risky. A recent study found that a significant increase in oxidative stress happened within the bodies of women on iron supplements. Before going on iron supplements, talk to your physician about using diet to optimize your iron intake. 

Iron is a double-edged sword. If we don’t absorb enough, we risk anemia; but if absorb too much, we may increase our risk of cancer, heart disease, and a number of inflammatory conditions. Because the human body has no mechanism to rid itself of excess iron you should choose plant-based (non-heme) sources, over which your body has some control.

What are the best iron rich foods to eat?

  • Legumes, soybeans, & tofu

  • Oatmeal, brown rice, and other whole grains

  • Nuts and seeds (especially pumpkin seeds, squash seeds, pine nuts, pistachios, sunflower seeds, and cashews)

  • Dried fruit

  • Dark chocolate

  • Dark leafy greens

Good to Know: 

  • Eating vitamin C-rich foods, such as citrus, tropical fruits, broccoli, bell peppers, at the same meal with iron rich foods, will improve iron absorption.  

  • Eating onions & garlic can with grains and legumes can increase availability of iron (& zinc) by 50%

  • Iron absorption is impaired by drinking tea and coffee with your meals - have your tea or coffee about an hour after the meal.

  • Researchers have found that cooking acidic foods, like tomatoes, in an iron skillet greatly increases the iron content of many foods.  

  • Soaking, fermenting, yeasting, and sprouting plant foods increases the body’s absorption of iron and other valuable minerals. 

  • Surprisingly, spinach is NOT a good way to get iron due to it's high oxalate content. 

  • Donating blood is a good way to rid your body of excess iron (especially for people with genetic hemochromatosis). Check with your doctor.

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