Iron Deficiency Anemia

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Iron Deficiency Anemia

What is Iron Deficiency Anemia?

Iron Deficiency Anemia (IDA) is a condition where the body lacks enough iron to produce adequate hemoglobin — the protein in red blood cells responsible for carrying oxygen throughout the body. Without sufficient iron, the body’s tissues and organs receive less oxygen, leading to fatigue, weakness, and other health issues.
Iron deficiency is the most common type of anemia worldwide and can range from mild to severe. It often develops gradually and may go unnoticed until symptoms become more pronounced.

Is Iron Deficiency Anemia common?

Yes, Iron Deficiency Anemia is one of the most common nutritional deficiencies globally. It is particularly prevalent among women of childbearing age, pregnant women, children, and people with chronic blood loss or poor dietary intake.

Can Iron Deficiency Anemia be cured?

Yes — in most cases, Iron Deficiency Anemia can be effectively treated once the cause is identified and corrected. Treatment may include iron supplements, dietary changes, or addressing underlying causes such as bleeding, poor absorption, or increased iron demand. With proper management, most people can restore normal hemoglobin levels and feel significantly better. Iron deficiency anemia can be a symptom of chronic gastrointestinal bleeding, which may require endoscopic evaluation

Causes

What causes Iron Deficiency Anemia?

Iron Deficiency Anemia occurs when iron loss or demand exceeds the body’s intake or absorption. Common causes include:

  • Chronic blood loss – from heavy menstrual periods, ulcers, hemorrhoids, or gastrointestinal bleeding.
  • Inadequate dietary intake – diets low in iron-rich foods such as red meat, beans, and leafy greens.
  • Poor absorption – due to gastrointestinal disorders like celiac disease, Crohn’s disease, or gastric surgery.
  • Increased need for iron – during pregnancy, infancy, or adolescence when growth or development increases demand.
  • Medications – such as certain antacids or proton pump inhibitors that reduce iron absorption.

What are the risk factors?

You may be more likely to develop Iron Deficiency Anemia if you:

  • Are a woman with heavy menstrual periods
  • Are pregnant or breastfeeding
  • Have gastrointestinal bleeding or ulcers
  • Follow a vegetarian or vegan diet without iron supplementation
  • Have a condition that affects iron absorption (like celiac disease)
  • Donate blood frequently
  • Have undergone gastric bypass surgery

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*Price Effective 12/1/2025
$169
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$109
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$149

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$99

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Symptoms

What are the symptoms of Iron Deficiency Anemia?

Symptoms may develop slowly and worsen as iron levels drop. Common signs include:

  • Fatigue and weakness
  • Pale or yellowish skin
  • Shortness of breath or rapid heartbeat
  • Dizziness or lightheadedness
  • Cold hands and feet
  • Brittle nails or hair loss
  • Chest pain or headaches
  • Unusual cravings for non-food substances like ice or clay (pica)
  • Poor concentration or irritability

If left untreated, Iron Deficiency Anemia can lead to complications such as heart problems, pregnancy issues, or delayed growth in children.

Diagnosis

How is Iron Deficiency Anemia diagnosed?

Your healthcare provider will begin with a physical exam and review of your symptoms. Diagnosis may include:

  • Complete blood count (CBC) – to measure hemoglobin and red blood cell size.
  • Serum ferritin test – to assess the body’s iron stores.
  • Serum iron and total iron-binding capacity (TIBC) – to evaluate how much iron is circulating and how well it’s being transported.
  • Reticulocyte count – to measure new red blood cell production.
  • Tests for underlying causes – such as endoscopy or colonoscopy if gastrointestinal bleeding is suspected.

Treatment

How is Iron Deficiency Anemia treated?

Treatment focuses on replenishing iron levels and correcting the underlying cause.
Lifestyle and dietary changes:

  • Eat iron-rich foods (red meat, poultry, beans, lentils, spinach, and iron-fortified cereals).
  • Pair plant-based iron sources with vitamin C–rich foods (like citrus fruits) to enhance absorption.
  • Avoid excessive tea or coffee, which can inhibit iron absorption.

Medications and supplements:

  • Oral iron supplements – typically ferrous sulfate, ferrous gluconate, or ferrous fumarate.
  • Intravenous iron therapy – for individuals who can’t tolerate or absorb oral iron.
  • Treating underlying causes – such as addressing bleeding, adjusting medications, or managing absorption disorders.

Monitoring:
Regular blood tests are used to track hemoglobin and ferritin levels to ensure successful treatment. Most people start feeling better within weeks, though full correction of iron stores may take several months.

References

Mayo Foundation for Medical Education and Research. (2024, March 22). Iron Deficiency Anemia. Mayo Clinic.https://www.mayoclinic.org
U.S. National Library of Medicine. (2024, January 18). Iron Deficiency Anemia. MedlinePlus. https://medlineplus.gov
American Society of Hematology. (2023). Iron-Deficiency Anemia: Causes, Symptoms, and Treatment. hematology.org

Medically reviewed by:

Dr. Javeed Siddiqui, MD, MPH

Dr. Siddiqui is the Chief Medical Officer at TeleMed2U responsible for clinical and technical program development as well as maintaining a thriving telemedicine practice in infectious diseases which includes specialized care of Hepatitis and HIV.

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Gastroenterology

Your copay
Depending on insurance

Without Insurance

*Price Effective 12/1/2025
$169
Initial Visit
$109
Follow Up
Gastroenterology

$149

Initial Visit

$99

Follow Up