Hi all,
just a reminder that anemia, especially iron and the B's (B12, B6, folic acid, & pantothenic acid<<<good for immune system) are very common with thyroid problems...especially for those of us who have had problems with menorrhagia (heavy periods) & who don't absorb our meds and nutrients well...they mention in the article a couple of ways to aid your digestive system in absorbing thte iron that you do take in...and they give a list of foods to look for if you are anemic...Hugs, Bee
http://www.detnews.com/2004/fitness/0406/16/h06-184492.htm
Wednesday, June 16, 2004
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David Coates / The Detroit News
Troy-based dietitian Sujata Chaddha Jhaveri, shown here at Martha T. Berry Medical Facility in Mount Clemens, holds a tray of iron-rich foods.
Women need to keep iron in mind
A shortage can leave you dizzy and tired all the time
By Michael H. Hodges / The Detroit News
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Ricardo Thomas / The Detroit News
Exercise specialist Danielle Doney, 23, of Detroit can thank her mother for getting her to a doctor when she was a freshman in high school, suffering from fatigue. She was diagnosed with iron-deficiency anemia.
Check for signs of iron deficiency
Iron deficiency can lead to anemia. Symptoms can include:
* Fatigue
* Weakness
* Shortness of breath
* Light headedness
* Paleness
* Irritability
* Brittle nails
* Sore tongue
* Headache
* Paleness
* Increased susceptibility to infection
* Poor appetite
* Pica (unusual cravings for nonfood substances such as dirt or ice)
Too much iron
It is possible to have too much iron in your body.
The buildup of too much iron, frequently because of a genetic predisposition to absorb more iron than needed, can lead to the hemachromatosis, with symptoms such as joint pain, organ damage and fatigue.
To learn more about the condition, go to:
* www.cdc.gov/ hemochromatosis
* ironoverload.org
* irondisorders.org
* iodforum.net
Learn more
* www.nlm.nih.gov /medlineplus/ anemia.html
* kidshealth.org
* familydoctor.org
* 4woman.gov
* mayoclinic.com
Who's at risk
Experts say people most at risk of iron deficiency anemia include:
* Women and girls who menstruate.
* Pregnant women and women who are nursing.
* Infants, children and adolescents who are growing rapidly.
* People who eat no meat or eggs.
* People with peptic ulcer disease or colon cancer, and people who use aspirin long term.
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When Danielle Doney was a freshman in high school, all she wanted to do was sleep.
I was just fatigued all the time, says the 23-year-old exercise specialist, newly arrived in Detroit from the Upper Peninsula.
I could sleep for 10 hours and still be tired. I took naps throughout the day.
The symptoms alarmed Doneys mother, who got her into the doctors office posthaste.
When the blood tests came back, it was discovered Doney suffered from iron-deficiency anemia, a condition alarmingly common with women of menstruation age.
The Mayo Clinic estimates one-fifth of American women and half of pregnant women suffer from insufficient iron.
In poorer countries, the World Health Organization pegs the number of anemic women at 40 to 50 percent.
While men sometimes suffer from iron deficiency, its far less common than among women.
Women are particularly susceptible because of their monthly cycle, when blood loss leaches the body of vital iron. Once past menopause, many women report their iron problems simply disappear.
For those battling the deficiency, life can feel like an endless trudge up steep stairs.
Common symptoms range from the sort of fatigue Doney describes to mental fuzziness, weakness, vertigo, irritability and heartburn.
In extreme cases, says registered dietitian Sujata Chaddha Jhaveri in Troy, it can even lead to dysphagia, a difficulty in swallowing, as well as abdominal pains, anorexia and palpitations.
Prompt attention is essential.
Anytime anybody feels they have the symptoms, Jhaveri says, they should see their doctor.
Iron is essential to creating hemoglobin, the protein pigment in red blood cells that carries oxygen.
If blood isnt properly oxygenated, nothing works up to par. You drag, your body doesnt absorb food efficiently, and your skin lacks the rosiness associated with good health.
Occasional blood tests are recommended for all women because the condition can be sneaky.
Fatigue? asks Julie Nitzkin, a 38-year-old from Farmington Hills. I didnt notice it. But my hemoglobin levels, when tested, were absolutely too low.
Normal hemoglobin, says Nitzkin, a clinical nurse manager in Southfield, ranges from 12 to 16 grams per deciliter of whole blood.
Mine was 10-point something, she says.
Both Nitzkin and Doney went on iron supplements and found their deficits disappeared. In Doneys case, her doctor also prescribed a low dose of the birth-control pill to limit the amount she bled every month.
The results were almost immediate.
Oh, the fatigue definitely got a lot better, she says. But the biggest thing was a general feeling of wellness fewer colds that wouldnt drag on as long, and fewer coughs. After school, I no longer felt like I had to run home to take a nap. Once Doney was in college, she stopped all treatment, and her hemoglobin levels remained normal.
In high school, she says, I was really thin. Im about 6 feet and weighed 125 at the time, and I think the weight gain helped.
For the unlucky, iron-deficiency anemia can be a lifelong, troubling condition.
Patricia Nouhan of Hartland has battled anemia for decades. Only recently, after seeing a doctor who specializes in holistic medicine, does she feel shes getting a handle on it.
It was like it was always 2 in the morning, she says of her persistent fatigue. Youre dragging all the time, and your mind is foggy. When I turned 40, it just got worse and worse.
Her problem was compounded by the fact that her body couldnt absorb the iron supplements she was routinely prescribed.
So Dr. Richard Ng at West Bloomfields Center for Holistic Medicine not only looked at her iron levels, but protein as well.
When somebody has iron-deficient anemia, he says, Im not going to load them up with iron immediately. Im going to check their protein, because iron needs protein to be ushered around the body.
Ng ultimately prescribed iron injections, as well as thyroid and cortisone treatments. Its made a world of difference.
I dont feel sick when Im exhausted anymore, Nouhan says. My lymph nodes in my joints used to ache when I was tired, and I would feel nauseated. I couldnt complete sentences. I couldnt think. Now when Im tired, she adds, Im just tired.
Indeed, researchers at Pennsylvania State University reported this spring that mental sluggishness isnt just in your mind. In a study of 113 women, even those with mild cases of iron deficiency not clinical anemia had trouble completing memory tests and cognitive tasks.
Still, this is no recommendation to storm the pharmacy for iron supplements, unless your doctor tells you to.
Jhaveri emphasizes that your body can absorb only so much iron a day, and that piling on the supplement runs risks of its own.
The average American diet contains about 10 to 20 milligrams of iron daily, she says, and only about 10 percent of that is absorbed.
She adds, The body can only synthesize 5 to 10 milligrams of hemoglobin a day. Overdosing with supplements cannot expedite that process.
Heres how meats, grains and vegetables stack up
Want to avoid iron deficiency anemia? Regularly eating foods rich in iron works for most people.
Keep in mind that your body more easily absorbs heme iron, the type in animal products. To improve your bodys ability to absorb iron from nonheme iron the type from grains and vegetables be sure to eat it with food that has heme iron or with citrus juice or other food with a lot of vitamin C.
Heres a quick look at iron content in some foods:
* Amaranth: (3 1/2 ounces, dry) 8 mg
* Black beans, fava beans, Great Northern beans or lima beans: (3 1/2 ounces, cooked) 2 mg
* Brown rice: (3 1/2 ounces, dry) 2 mg
* Chicken: (3 1/2 ounces, skinned and cooked) 1 mg
* Chickpeas, kidney beans, lentils, navy beans or pinto beans: (3 1/2 ounces, cooked) 3 mg
* Clams: (3 1/2 ounces, cooked) 28 mg
* Dates: (3 1/2 ounces, raw) 1 mg
* Duck: (3 1/2 ounces, skinned and cooked) 3 mg
*Eggs: (2 large) 1 mg
* Extra lean, cured ham: (3 1/2 ounces) 2 mg
* Fennel: (3 1/2 ounces, raw) 3 mg
* Goose: (3 1/2 ounces, skinned and cooked) 3 mg
* Green peas: (3 1/2 ounces raw) 2 mg
* Halibut: (3 1/2 ounces, cooked) 1 mg
* Kale: (3 1/2 ounces, raw) 2 mg
* Leg of lamb: (3 1/2 ounces, cooked) 2 mg
* Peanuts: (3 1/2 ounces, dry roasted) 2 mg
* Pork, top loin: (3 1/2 ounces, cooked) 1 mg
* Prunes: (3 1/2 ounces, raw) 3 mg
* Quinoa, (3 1/2 ounces, dry) 9 mg
* Rainbow trout: (3 1/2 ounces, cooked) 2 mg
* Raisins: (3 1/2 ounces, raw) 2 mg
* Rye: (3 1/2 ounces, dry) 3 mg
* Scallops: (3 1/2 ounces, cooked) 3 mg
* Shrimp: (3 1/2 ounces, cooked) 3 mg
* Sockeye salmon: (3 1/2 ounces, cooked) 1 mg
* Soybeans: 3 1/2 ounces, cooked) 5 mg
* Spinach: (3 1/2 ounces, raw) 3 mg
* Turkey: (3 1/2 ounces, skinned and cooked) 2 mg
* Venison: (3 1/2 ounces, cooked) 5 mg
* White enriched rice: (3 1/2 ounces, dry) 4 mg
* Whole almonds: (3 1/2 ounces, dry roasted) 4 mg
You can reach Michael H. Hodges at (313) 222-6021 or mhodges@....