Hi again! I hope you've been enjoying my 5-installment series on iron and human health.
The reason for distinguishing between these two concepts is because anemia can be caused through several mechanisms--iron deficiency being merely one of them. I had mentioned that difference in passing in the previous section.
If you've got low hemoglobin, you'll automatically have low iron in these blood cells as well, as iron is needed to create hemoglobin. Remember that iron is needed in blood cells to carry the oxygen that you breathe throughout your body.
You can also be anemic due to hereditary conditions, for example, which is not directly caused by having too little iron available, even though the consequence of anemia is the same.
In that non-aenemic variation, iron stores are still sufficient that hemoglobin levels are not lowered, even though the total body store of iron has dramatically declined.
The problem is that you'll already start experiencing negative health effects with a non-anemic iron deficiency - this circumstance is thus far from optimal.[136]
The more extreme the iron deficiency gets (as measured by ferritin, for example), the more symptoms you'll probably experience. As iron is so important for most processes in the body, you can also experience symptoms not included in the above list.
With a lower calorie intake, you're automatically more at risk for having iron deficiencies. The reason for that relationship is simple: with lower calorie intake you're more prone to consume fewer milligrams of iron.
An impaired immune system (making you more defenseless against disease) and heart problems (e.g. heart failure, in which your heart doesn't pump strongly enough for the body's needs) are examples of eventual consequences of a deficiency.
If low iron levels show up on your lab test, it's thus imperative to consider how much iron you're taking in from food (a topic that will be treated later). If you do consume enough iron, it's necessary to check why you've become anemic.
The word "hemochromatosis" can literally be translated into "iron colored blood". In reality, the name is often used to not only denote excesses of iron in the blood, but also in other places of the body.
If you're predisposed to iron overload, then you can be deficient in that "hepcidin" compound.[215] Hepcidin is necessary to regulate iron absorption in the intestines - lower hepcidin levels lead to greater iron uptake.
With unfettered iron absorption, the mineral will eventually be deposited in several organs, such as the heart, liver, joints, and even skin.[103]
Having a genetic predisposition to accumulate iron and blood transfusions are the main two causes of iron overload.
Some diseases also exist in which you can get an iron overload, such as "β-thalassemia".[216; 217; 218] No need to remember that difficult name though.
Lastly, aging is another cause of iron overload (in the wrong places).
(Advanced explanation: because hepcidin function also originates in relation to the liver, it's simple to hypothesize that liver function is integral to iron metabolism. Studies confirm that hypothesis, hepcidin functioning is off in multiple liver diseases.[225; 226; 227; 228] While more research is needed, liver function looks closely related to iron status in the body. Supporting evidence: alcohol consumption is also tied to excess body iron stores.[231; 232; 233; 234])
Now, hepcidin not just regulates how much iron is absorbed, but also helps control how much is deposted in various organs, such as the brain, kidneys, and liver.[219; 220; 221; 222; 223; 224]
And more..
Being tired and joint problems are the most commonly experienced symptoms...
Please observe that many iron deficiency anemia and overload symptoms overlap - testing is thus key (a point I'll keep re-emphasizing).
15 million Americans, moreover, are currently living with excessive iron levels.
According to the statistics, at least 8% are at risk, meaning that only 1 in 8 is aware of how their body handles iron - that's far too little.
In insulin resistance, the body's cells don't take up carbohydrates (mainly glucose) the way they should.[348; 349]
Another explanation is that the cells are already filled up with glucose, and that glucose is not properly used within these cells, which ensures that most glucose remains in the bloodstream.
Many indications exist that iron overload decreases the cell's ability to take up carbohydrates.[350; 351; 352; 353; 354; 355] The relationship between increased iron stores and insulin resistance seems linear in many studies.
Now, the main problem is that insulin resistance and/or diabetes both increase your risk for several other diseases, such as heart and blood vessel problems, brain disease (such as Alzheimer), increased inflammation, obesity, and others.[356; 357; 358; 359; 360; 361; 362; 363]
Want more proof of the relationship between iron accumulation and insulin resistance?
Stay tuned...
You now know all about iron deficiency and overload, but not yet about what massive benefits optimal iron levels can have...
Let's grab the keys to the kingdom...
In the next installment of this blog post series, you'll learn how to manage your iron status through your food intake, and how different foods affect that process.
The next blog post will also teach you how to eat the right foods to prevent deficiency and overload, and, give you strategies to manage your levels easily!
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