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Iron is like a real-life superhero for our bodies, but without the flashy cape. This essential mineral plays a crucial role in our bloodstream by helping transport oxygen and maintaining our energy levels. Without enough iron, we might feel as drained as we do during a long day at work.

In addition to boosting energy, iron is vital for creating hemoglobin, a key component of our red blood cells. Hemoglobin acts as a carrier for oxygen, ensuring that all parts of our body receive an adequate oxygen supply to function properly. When iron levels are low, our bodies struggle to produce healthy red blood cells, leading to a condition called iron-deficiency anemia. This deficiency can result in symptoms like tiredness, weakness, and difficulty concentrating, underscoring the crucial role iron plays in preserving our overall health and vigor.

According to the World Health Organization, iron deficiency anemia (IDA) is a widespread nutritional issue globally, affecting around 30% of the population. Teenage girls are particularly vulnerable to this condition due to their diets often lacking iron-rich foods as recommended by the Dietary Guidelines for Americans. Additionally, they experience significant iron loss during menstruation. Data from JAMA Network reveals that nearly 40% of females in the US aged 12 to 21 experienced iron deficiency between 2003 and 2020, with 6% of this group suffering from iron deficiency anemia.

How to know if you have an iron deficiency

Those with iron deficiency, if left untreated, can experience significant cognitive impairment and poor quality of life. Bottom line? keeping your iron status in check is incredibly important. The most reliable method to determine if you have an iron deficiency is to get a blood test, such as a serum ferritin test, which measures the amount of stored iron in your body, as well as a complete blood count (CBC), which can indicate if you have anemia related to low iron levels.

While inadequate iron stores can be a result of low intake of iron foods, like lean red meat and fish, it can also be a sign of underlying conditions like a gastrointestinal bleed.

If you have any of these symptoms, it may be a sign that you should get a blood test to determine if you have inadequate iron stores. If you do, in fact, have one of these conditions, your healthcare provider will help you determine your best mode to get your iron levels back to a healthy level so you can feel your best.

You feel tired.

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One telltale sign of iron deficiency is unusual tiredness or fatigue. This symptom arises because your body relies on iron to make hemoglobin, a protein in red blood cells that enables them to carry oxygen around the body. When iron levels are low, the body can struggle to transport sufficient oxygen to your tissues and organs, leading to a persistent feeling of exhaustion.

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You have spoon nails.

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One tell-tale sign of iron deficiency is the appearance of spoon nails, medically referred to as koilonychia. In this condition, the nails become thin and concave, resembling the shape of a spoon. This symptom reflects more than just a cosmetic concern; it can indicate inadequate iron levels in the body, affecting hemoglobin production and overall health.

You are frequently cold.

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One telltale sign of iron deficiency is an increased sensitivity to cold temperatures. Individuals with insufficient iron levels may find themselves feeling unusually cold or having cold hands and feet, even in relatively warm environments. This occurs because iron plays a crucial role in hemoglobin production, which is essential for oxygen transportation in the body, influencing our internal temperature regulation.

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You have poor academic performance.

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For children, inadequate iron intake, over time, may manifest as poor academic performance. In one study, average math scores were lower for iron-deficient children compared with children with normal iron status.

A systematic review of fifty studies published in Nutrients suggested that iron status and anemia may be associated with academic performance in some contexts and that iron supplementation during adolescence may improve school performance, attention, and concentration, but more high-quality research is needed to make a recommendation. It is also important to remember that many factors play into academic performance beyond iron intake.

You experience poor sleep.

Sleepy shaggy young man looks at the mirror in bathroom in the morning.
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Adequate iron levels in the body aid in the production of serotonin and dopamine, which are neurotransmitters essential for regulating sleep cycles. Data shows iron deficiency is linked to lower sleep quality, sleep disorder breathing, and other factors that are sleep-related.

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You experience anxiety.

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Anxiety can stem from a variety of sources, ranging from genetic factors to life experiences. Less known is that inadequate iron may be linked to increased anxiety, too. Iron is crucial for supporting brain health, affecting neurotransmitter synthesis and brain function.

 6 Best ‘Anxiety Superfoods’ To Eat When You’re Feeling Stressed

You crave ice.

Ice cubes
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One intriguing sign of iron deficiency is a condition known as pica. Pica is characterized by cravings for substances that have no nutritional value, such as ice, dirt, clay, or starch. This unusual eating behavior is often a body’s way of signaling a lack of essential nutrients, such as iron. Pregnant women and preadolescents are at the highest risk of pica.

Lauren Manaker MS, RDN, LD, CLEC

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