“15 Signs You May Have an Iron Deficiency”

 

Iron can make the difference between you feeling on top of the world and downright miserable. Check out these surprising signs you need to pump up your iron levels.

GOT IRON? MANY WOMEN DON’T: Getting enough iron is essential, especially for women. Iron helps you produce red blood cells and maintain a healthy immune system.

YOU’RE EXHAUSTED: The most common symptom of iron deficiency, it's also possibly the most difficult one to detect. "Women are so used to having frenetic (‘fast and energetic in a rather wild and uncontrolled way; frantic; hectic; anxiety driven’) lives and feeling tired," says Nancy Berliner, MD, deputy editor of Blood, the journal of the American Society of Hematology. "They often just dismiss being tired as part of life." However, iron deficiency causes less oxygen to reach your tissues, so your body is deprived of the energy it needs. If your "normal" fatigue is coupled with you feeling, weak, irritable, or unable to focus, iron (or a lack thereof) might have something to do with it. After all, there's a reason people whose iron deficiency progresses into anemia are often said to have "tired blood."

YOU HAVE HEAVY PERIODS: In women, the number-one cause of iron deficiency is too-heavy periods, says Jacques Moritz, MD, director of gynecology at Mount Sinai St. Luke's Roosevelt in New York City. "They lose too much blood, replace about half of it, and then lose too much again the following month," he says. "It's like filling up a car with a small hold in the tank." Your period should only fill two to three tablespoons each month. Try the tampon test: If you have to change your tampon more frequently than every two hours, talk to your gyno.

YOU’RE PALE: There's a reason the words "pale" and "sickly" are often used interchangeably. Hemoglobin gives your blood its red color and, thus, your skin its rosy hue. That means that low levels of the protein can suck the color straight from your skin, Dr. Moritz says. If you have a light complexion, it's pretty easy to spot. No matter your skin tone, though, if the inside of your lips, your gums, and the inside of your bottom eyelids are less red than usual, low iron may be to blame.

YOU GET SHORT OF BREATH EASILY: No matter how deeply you breathe, if your oxygen levels are low, you'll feel out of air, explains Dr. Berliner. If you notice yourself getting out of breath doing things that you'd normally handle just fine—be it climbing a flight of stairs or knocking out your usual workout—iron deficiency could be to blame.

YOUR HEART IS POUNDING: An overworked heart can end up suffering from irregular heartbeats, heart murmurs, enlargement, and even heart failure. Before you freak out, don't. For things to get that bad, you would probably have to suffer from iron deficiency anemia for quite some time, suggests a review of cardiomyopathy and iron deficiency in the Texas Heart Institute Journal. However, if you know you have heart problems, it's important to get your iron levels checked as iron deficiency can worsen existing heart problems.

YOU HAVE RESTLESS LEG SYNDROME: Can't stop fidgeting?  About 15% of people with restless leg syndrome have iron deficiency, according to Johns Hopkins Medicine. The lower the iron levels, the worse the symptoms.

YOUR HEAD HURTS: An iron-deficient body will prioritize getting oxygen to your brain before it worries about other tissues, but even then, your noggin will still get less than it ideally should, Dr. Berliner says. In response, the brain's arteries can swell, causing headaches, according to the National Headache Foundation.

YOU CRAVE CLAY, DIRT AND ICE: Called pica, craving (and actually eating) non-food substances can be a sign of iron deficiency. Iron-deficient people may be tempted to chow down on chalk, clay, dirt, and paper. Luckily, most women opt for ice, says Dr. Berliner, who tells her anemic patients to come back to see her if they start craving ice.

YOU FEEL ANXIOUS FOR NO REASON: As if your life wasn't stressful enough, iron deficiency can trick you into feeling even more anxious. A lack of oxygen revs up your body's sympathetic nervous system, which is kind of like your body's gas pedal, Dr. Berliner says. Plus, since iron deficiency can send your heart racing, it's easy to feel like you're in fight-or-flight mode even when you have every reason to feel relaxed.

YOU’RE LOSING YOUR HAIR: Iron deficiency, especially when it progresses into full-blown iron deficiency anemia, can cause hair loss. "It sends your body into survival mode, so your body channels oxygen to support vital functions as opposed to ones like keeping your hair intact," explains Dr. Moritz. Don't panic if there are a few hairs in your drain, though. Most scalps lose about 100 hairs on a good day.

YOU’RE VEGATARIAN OR VEGAN: All iron is not created equal. Your body absorbs heme iron—which comes from meat, poultry, and fish—two to three times more efficiently than non-heme iron from plants, says nutritionist Rania Batayneh, author of The One One One Diet. You can still get enough iron with careful meal planning. Dark leafy greens, whole grains, and legumes are all rich in iron; pair them with vitamin-C-rich foods like bell peppers, berries, and broccoli to boost your absorption.

YOU HAVE AN UNDERACTIVE THYROID: Iron deficiency slows your body’s thyroid function and blocks its metabolism-boosting effects, according to the National Academy of Hypothyroidism. Hypothyroidism if often missed—six in 10 people with a thyroid disease don't know they have it, according to the American Thyroid Association—so if you notice low energy levels, weight gain, or even a lower body temperature, talk to your doc.

YOU’RE PREGNANT: Folic acid deservedly gets a lot of pre-natal press, but babies-to-be also need iron, and they can steal mom's stores. What's more, many women lose a substantial amount of blood during delivery, which can lower iron counts, Dr. Moritz says. If you're pregnant with multiples, have pregnancies close together, or regularly vomit because of morning sickness, you may need to boost your iron intake.

YOUR TONGUE LOOKS WEIRD: Besides sapping the color out of your tongue, low iron counts can reduce levels of myoglobin, a protein in red blood cells that supports muscle health, like the muscle that makes up the tongue, Dr. Berliner says. As a result, many people who are iron deficient complain of a sore, inflamed, and strangely smooth tongue.

YOU HAVE CELIAC OR INFLAMMATORY BOWEL DISEASE: Even if you get enough iron in your diet, celiac disease and inflammatory bowel diseases like Crohn’s and ulcerative colitis can lead to problems absorbing nutrients, iron included. These conditions cause inflammation in and damage to the digestive tract. If you've been diagnosed with any of these GI diseases, talk to your doctor about how you can increase your iron absorption.

HOW TO GET MORE IRON? Iron requirements aren't one-size-fits-all, especially women. Women between the ages of 19 and 50 typically need 18 mg per day. However, if you're pregnant, that amount bumps up to 27 mg. If you're breastfeeding, you should get just 9 mg. Plus, how heavy your periods are could also alter your needs. Older than 50 and not menstruating? You only need 8 mg per day. That's not a hard target to hit—a single serving of lentils, spinach, beef, nuts, chicken, or chickpeas, will all score you at least a couple milligrams.

BY: K. Aleisha Fetters, Health Magazine, Updated January 29, 2018

Much Love, Dr. Shermaine, #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit #IWantYou2LiveWell #FeelFree2SignUpAndFollow

The Goal is to Always Make You Aware of What Concerns Your Body, Soul and Spirit, So You Can Have Open, Honest and Frequent Discussions With Your Physicians and Counselors. You Can’t Treat or Cure What You Don’t Know is Sick.
 
"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

The contents of the WebMD and Self-Care With Dr. Shermaine Sites, such as text, graphics, images, and other material contained on the WebMD and Self-Care With Dr. Shermaine Sites ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the WebMD and Self-Care With Dr. Shermaine Sites!

If you think you may have a medical emergency, call your doctor or 911 immediately. WebMD and Self-Care With Dr. Shermaine does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Sites. Reliance on any information provided by WebMD, WebMD employees, others appearing on the Site at the invitation of WebMD, and Self-Care With Dr. Shermaine or other visitors to the Sites is solely at your own risk.  

“Signs You’re Not Getting Enough Vitamin B6”

WHOLE BODY IMPACT: This hard-working vitamin holds many big jobs. It affects your mood, appetite, sleep, and thinking. You need it to fight off infections, turn food into energy, and help your blood carry oxygen to all corners of your body. While it’s rare to run low of it, you can’t afford to do so.

FLAGGING ENERGY: If your body is very low on B6, you can get anemia, which is too few red blood cells. That would make you feel tired and weak. Anemia can also come from not having enough iron in your body. Shortages of other vitamins, like B12 and folate, also may cause it.

RASHES: Signs that you lack B6 can show up on your skin. Your body goes through chemical changes. That most often leads to a scaly, itchy rash, usually on your face, called seborrheic dermatitis. The rash may get more and more obvious with time. If you have a minor shortage, the symptoms could take months or years to show up.

DRY, CRACKED LIPS: Your mouth could be a good place to spot any shortage of B6. Your lips might be scaly, and the corners could be cracked. Your tongue might swell.

WEAK IMMUNE SYSTEM: A shortage of B6 may make it harder for your body to resist infections and diseases. That can turn into a vicious cycle. Cancer and other illnesses can deplete your B6 supply. So you’d need to get even more of the vitamin to make up for that. You can do that easily with a B6 supplement.

NUMB HANDS OR FEET: Do your fingers tingle? Do your feet feel numb? The culprit may be a nerve disorder called peripheral neuropathy. Lack of B6 may help trigger it. It and other B vitamins like B12 are essential to keep your nerves healthy.

CRANKY BABY: A fussy baby could be trying to tell you they’re low on B6. That could happen if you feed your infant nothing else but breast milk for more than about 6 months. Too little of the vitamin can even lead to seizures. It also can make your baby’s hearing extra sensitive so that noises can easily upset them.

MORNING SICKNESS: Moms-to-be need more B6 in their diet than anyone else. If you’re feeling sick with nausea or vomiting (and not just in the mornings), a B6 supplement may help. But you should take it only with your doctor’s guidance.

FOGGY BRAIN: B6 helps regulate your mood and memory. If you notice feeling confused or sad, especially if you’re a senior, a shortage of this vitamin could be the reason. It may make you more likely to get depressed after a stroke, fractured hip, or other major illness. B6 sometimes works in tandem with other B vitamins. If you run low, it may slow your mental abilities.

CANCER: Low B6 may play a role in your chances of having cancer. Researchers don’t know exactly why. But studies have linked a lack of B6 to stomach and esophageal cancers. A lack of the vitamin also may make you more likely to get cancers driven by steroid hormones, such as breast and prostate cancers.

DAILY DOSE: The amount of B6 you need each day depends mainly on your age. Babies 7-12 months old need 0.3 milligrams a day. You need more as you grow. If you’re over age 50, you need at least 5 times as much: 1.7 milligrams a day for men and 1.5 milligrams for women. Pregnant women need it most of all -- 1.9 milligrams a day.

SOURCES: PROTEINS - It’s easy to get all the B6 you need from foods. Poultry, beef, and fish are among the handiest sources. Just 3 ounces of tuna pack almost half of what an adult needs each day. The same amount of salmon will supply 30%, and chicken will give you 25%.

SOURCES: VEGGIES AND FRUITS - Love starchy vegetables like potatoes, yams, and corn? They’re some of the main ways that Americans get their B6. Fruits are another major source (except for citruses like oranges and grapefruits). One cup of chickpeas, aka garbanzo beans, will take care of half of your daily requirement.

CAUSES OF SHORTAGE: Serious B6 deficiencies happen rarely. But some seniors may run low if they don’t eat enough food or because their bodies don’t absorb nutrients as well as before. Kidney disease and other conditions that keep your small intestine from taking in nutrients also can be culprits. So can alcohol abuse.

WHAT ABOUT SUPPLEMENTS? If you’re unable to get enough B6 from foods, supplements can fill the gap. Most multivitamins have B6, or you can take it separately. Tell your doctor If you’re on any meds or taking other supplements. And go easy on it. Taking too much B6 might damage your nerves or give you sores, heartburn, or nausea. The safe daily limit for adults is less than 100 milligrams.

REVIEWED BY: Sabrina Felson, MD, on August 19, 2018, WebMD

REFERENCES:

Mayo Clinic: “Vitamin B6,” “Anemia,” “Peripheral neuropathy.”
National Health Service (UK) Choices: “B vitamins and folic acid.”
National Institutes of Health: “Vitamin B6.”
Cleveland Clinic: “5 Vitamins You Might Be Missing.”
Oregon State University, Linus Pauling Institute: “Vitamin B6.”
Journal of Pediatric Gastroenterology and Nutrition: “Risk of low vitamin B6 status in infants breast-fed exclusively beyond 6 months.”
American Journal of Clinical Nutrition: “Relations of vitamin B-12, vitamin B-6, folate, and homocysteine to cognitive performance in the Normative Aging Study,” “High homocysteine and low B vitamins predict cognitive decline in aging men: the Veterans Affairs Normative Aging Study.”
BMC Geriatrics: “Vitamin B6 deficiency and diseases in elderly people -- a study in nursing homes.”

Much Love, Dr.Shermaine, #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit #IWantYou2LiveWell #FeelFree2SignUpAndFollow

The Goal is to Always Make You Aware of What Concerns Your Body, Soul and Spirit, So You Can Have Open, Honest and Frequent Discussions With Your Physicians and Counselors. You Can’t Treat or Cure What You Don’t Know is Sick.

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

The contents of the WebMD and Self-Care With Dr. Shermaine Sites, such as text, graphics, images, and other material contained on the WebMD and Self-Care With Dr. Shermaine Sites ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the WebMD and Self-Care With Dr. Shermaine Sites!

If you think you may have a medical emergency, call your doctor or 911 immediately. WebMD and Self-Care With Dr. Shermaine does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Sites. Reliance on any information provided by WebMD, WebMD employees, others appearing on the Site at the invitation of WebMD, and Self-Care With Dr. Shermaine or other visitors to the Sites is solely at your own risk.  

“How to Get Vitamin D, According to Doctors”

WHY IS VITAMIN D SO IMPORTANT? If you don’t spend enough time in the sun or if your body has trouble absorbing vitamin D, you may not get enough. Here are 12 ways to ensure adequate intake. Calcium gets most of the credit for maintaining strong, healthy bones, but vitamin D is also a key player in bone health. "You can have all the calcium in the world, [but] it doesn’t get absorbed into your bones" without vitamin D, Donald Ford, MD, a family medicine physician at Cleveland Clinic, tells Health. That's vitamin D's job—without it, the calcium you get from yogurt, cheese, and even vegetables like broccoli wouldn't get absorbed, and ultimately wouldn't do much in terms of keeping your bones strong. Vitamin D can also help prevent against osteoporosis, which makes your bones brittle, and a vitamin D deficiency can contribute to a “gradual loss of strength of bones over time,” Dr. Ford says. As far as a daily dosage of vitamin D goes, “the Institute of Medicine recommends 600-1000 IU of Vitamin D daily to meet 95% of the populations’ needs,” says Tania Elliott, MD, an instructor of clinical medicine at NYU Langone. (FYI: IU stands for international units, which is what vitamin D is measured in, rather than grams or milligrams.) Luckily, there are plenty of (easy) ways to get the recommended amount each day—here's how.

SUNLIGHT: Sunlight spurs the body to make vitamin D, but it's important to keep in mind that exposure to the sun comes with a risk of developing skin cancer. Luckily, just a small amount of sunlight during the day can help with vitamin D levels. "If you're going to get it from the sun, about 20 to 25 minutes of exposure is helpful," says Stephen Honig, MD, director of the Osteoporosis Center at the Hospital for Joint Diseases, in New York City. (As always, though, make sure you’re protecting your skin from harmful ways when you’re getting your daily vitamin D intake.) The sun is less likely to provide your daily needs at higher latitudes, in the winter, or if you're older or dark skinned (skin pigment blocks light and the process is less efficient with age). And FYI: Light through a window won't work (though you should still wear sunscreen inside due to exposure to UVA rays).

FATTY FISH: Different types of fish are excellent sources of vitamin D, says Dr. Ford. You should look to fattier fishes, specifically, if you’re trying to work more vitamin D into your diet, he adds. “Vitamin D is present in the ones we think of as oily [or] fatty,” he explains. Three ounces of cooked rainbow trout have 645 IUs of vitamin D, according to the National Institutes of Health. Additionally, the same amount of cooked salmon has 570 IUs. Sardines, tuna fish, and cod liver oil also have vitamin D. Also important: When you add more fish into your diet, you're also getting an extra dose of heart-healthy omega-3 fatty acids.

CANNED TUNA FISH: Fresh fish aren't the only way to boost your vitamin D intake; you can get vitamin D from a can, too. Canned tuna fish and canned sardines both contain vitamin D, and are usually less expensive than fresh fish. Plus, a longer shelf life makes the canned products easy to stock up on and use at your leisure. Canned light tuna has the most vitamin D—about 150 IUs per 4 ounces—while canned albacore tuna has about 50 IUs per 4 ounces, and canned sardines have a little more than 40 IUs per two sardines.

CERTAIN MUSHROOMS: “Believe it or not, mushrooms can be treated with UV light which fortifies them with Vitamin D," says Dr. Elliott—that's because, like humans, mushrooms also have the capacity to produce vitamin D. (Mushrooms, however, are usually grown in dark environments, which is why they must be treated with UV light for exposure.) Still, certain mushrooms can still be a beneficial source of vitamin D. Check to see if vitamin D–rich 'shrooms, like Dole's portobello mushrooms, are available at a store near you. They're perfect for vegetarians looking for plant-based foods that contain the vitamin. Dole's portobellos will give you 400 IUs of vitamin D per 3-ounce serving (about 1 cup of diced mushrooms).

FORTIFIED MILK: Almost all types of cow's milk in the U.S. are fortified with vitamin D, but ice cream and cheese are not. In general, an 8-ounce glass of milk contains at least 100 IUs of vitamin D, and a 6-ounce serving of yogurt contains 80 IUs, but the amount can be higher (or lower) depending on how much is added. Some soy and rice milks are fortified with about the same amount, but check the label since not all contain vitamin D.

SOME TYPES OF ORANGE JUICE: Not a dairy fan? No problem. You can get vitamin D from fortified orange juice. One 8-ounce glass of fortified juice usually has around 100 IUs of vitamin D, but the amount varies from brand to brand. Not all brands are fortified, so check the label. Two fortified brands, Florida Natural Orange Juice and Minute Maid Kids+ Orange Juice, contain 100 IUs per 8-ounce serving.

SUPPLEMENTS: Some people also turn to supplements to increase their vitamin D intake, but whether that’s necessary for most people “is a big area of controversy in medicine,” says Dr. Ford. Many people get their blood tested for having a vitamin D deficiency, but that’s not always a necessity. “Unless there are specific reasons for concern, there’s not a general recommendation for testing and screening,” says Dr. Ford. And even if you do get tested, the results might not be accurate. “Vitamin D testing is not necessary for most people, and that’s because there really isn’t a reliable test or acceptable reference range—that’s why it seems like everyone these days has a low vitamin D level,” says Dr. Elliott. In short, if you’re worried about your vitamin D levels, you might want to consider spending the recommended amount of time in the sun and adding more fatty fish to your diet before adding another supplement to your daily medicine routine. But, as always, if you’re concerned about your bone health, check in with your primary care provider to make sure you’re doing everything possible to stay healthy, and to see if vitamin D supplements could help.

EGG YOLKS: Eggs are a convenient way to get vitamin D. They're popular in many breakfast, lunch, dinner, and dessert recipes. Since the vitamin D in an egg comes from its yolk, it's important to use the whole egg—not just the whites. One yolk will give you about 40 IUs, but don't try to get your daily vitamin D just from eggs. One egg contains about 200 milligrams of cholesterol, and the American Heart Association recommends consuming no more than 300 milligrams a day for heart health.

FORTIFIED CEREAL: If you're a vitamin D seeker looking for a crunch, look no further than fortified cereals. Choose a low-calorie fortified cereal like Multi Grain Cheerios to get part of your daily fill of vitamin D. You can pair it with fortified milk and a glass of fortified OJ too. A 1-cup (29 gram) serving of Multi Grain Cheerios with one-half cup of fortified milk is 90 IUs; add in an 8-ounce glass of fortified orange juice, and your total is close to 200 IUs.

BEEF LIVER: Although it might not be the most appealing source, a 3.5-ounce serving of cooked beef liver contains about 50 IUs of vitamin D—and several other nutrients. You'll also be getting vitamin A, iron, and protein. However, beef liver is also high in cholesterol, so you might want to choose an oily fish instead.

COD LIVER OIL: While its name might suggest a less-than-savory flavor, cod liver oil is often flavored with mint or citrus, or comes in capsule form. One tablespoon contains about 1,300 IUs of vitamin D, which is more than twice the recommended dietary allowance of 600 IUs per day. That amount doesn't exceed the maximum upper-level intake of 4,000 IUs for people over 8 years old, but it exceeds the daily maximum for infants (1,000 IUs).

ULTRAVIOLET LAMPS AND BULBS: People at high risk of vitamin D deficiency may resort to UV-emitting lamps and bulbs. This includes people unable to absorb the vitamin (malabsorption) or those who can't get enough in winter months, says Michael F. Holick, MD, a professor of medicine, sociology, and biophysics at Boston University Medical Center. These are similar to tanning beds, but smaller. "The lamp is only about 24 inches by about 16 inches," says Dr. Holick. These lamps carry the same skin-cancer risks and need for protective eyewear, so they're best for those with a doctor's recommendation.

By: Ella Quittner, Health Magazine

Updated May 15, 2020

The Goal is to Always Make You Aware of What Concerns Your Body, Soul and Spirit, So You Can Have Open, Honest and Frequent Discussions With Your Physicians and Counselors. You Can’t Treat or Cure What You Don’t Know is Sick.

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

The contents of the Health Magazine and Self-Care With Dr. Shermaine Sites, such as text, graphics, images, and other material contained on the Health Magazine and Self-Care With Dr. Shermaine Sites ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the Health Magazine and Self-Care With Dr. Shermaine Sites!

If you think you may have a medical emergency, call your doctor or 911 immediately. Health Magazine and Self-Care With Dr. Shermaine does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Sites. Reliance on any information provided by Health Magazine, Health Magazine employees, others appearing on the Site at the invitation of Health Magazine, and Self-Care With Dr. Shermaine or other visitors to the Sites is solely at your own risk.